Revenue Integrity Billing Analyst

Weill Cornell Medicine; New York (NY); On-site; USD 79,000 - 90,000; Full time

Job summary

Weill Cornell Medicine seeks a Billing Compliance Specialist to monitor physician billing activity for compliance and provide audit feedback. You will track audit results, analyze coding patterns, and support staff training to ensure adherence to federal and state regulations while maximizing compliant revenue.

The role requires a CPC certification, a Bachelor's degree, and 2–3 years of relevant billing experience.

Qualifications

• Knowledge of professional billing including physician billing and reimbursement.
• Familiarity with third-party payer processes and carrier relations.

Responsibilities

• Track and analyze audit results; prepare reports.
• Analyze physician coding patterns and documentation using databases.
• Assist in orientation of new staff to billing and compliance policies; notify about training.
• Educate staff on compliant coding to maximize revenue.
• Design audit tools; conduct prospective and retrospective audits; maintain records.
• Research provider coding practices and educate on appropriate coding for specialties.
• Train on coding/documentation changes implemented by internal teams and carriers.
• Monitor effectiveness of corrective action plans and update policies.

Skills

Professional billing

Third-party reimbursement

Education

Bachelor's Degree in related field

Job description

Weill Cornell Medicine seeks a Billing Compliance Specialist to monitor physician billing activity for compliance and provide audit feedback. You will track audit results, analyze coding patterns, and support staff training to ensure adherence to federal and state regulations while maximizing compliant revenue.

The role requires a CPC certification, a Bachelor's degree, and 2–3 years of relevant billing experience.