Hospital Billing Compliance Manager - Corporate Compliance

Maximize Compliance and Privacy at New York’s Top Hospital

NewYork-Presbyterian (NYP) is one of the nation’s most comprehensive, integrated academic health care delivery systems, dedicated to providing the highest quality, most compassionate care and service to patients in the New York metropolitan area, nationally, and throughout the globe. In collaboration with two renowned medical schools, Weill Cornell Medicine and Columbia University Vagelos College of Physicians and Surgeons, NewYork-Presbyterian is consistently recognized as a leader in medical education, groundbreaking research, and innovative, patient-centered clinical care. Step into this vital role supporting initiatives to enhance our robust Compliance and Privacy Program throughout the NYP system. You will be a part of a team that implements processes, reviews policies and increases awareness of Compliance and Patient Privacy Rights. Help promote a culture of compliance NewYork-Presbyterian!

Hospital Billing Compliance Manager - Corporate Compliance

In this role you will be responsible for overseeing all ongoing activities supporting hospital billing compliance across the NYP system. You'll oversee inpatient and outpatient hospital audits to ensure compliance with laws and regulations and NYP’s documentation, coding, charging, billing procedures, and standards. In addition, oversee facility governmental audits; assess areas of hospital billing compliance risk and emerging regulations; and educate hospital billing providers, departments, and key stakeholders involved in hospital charging and billing through the NYP system regarding identified documentation, coding, charging, and billing deficiencies and changes in regulations. You'll provide leadership, collaboration and support to key stakeholders throughout NYP involved in the provision, documentation, charging, coding, and/or billing of inpatient and outpatient hospital services to maintain compliance with Medicare and Medicaid regulations. You will maintain expert knowledge of CPT, HCPCS and ICD-10 guidelines across multiple hospital specialties. This position will manage the Hospital Billing Compliance team, under the leadership of the Sr. Director, Deputy Chief Compliance Officer.

This is a full time, day shift position.

Preferred Criteria

• Bachelor’s or Master’sDegree from an accredited university or college
• Medical Coding Certification (CPC, CCS)
• Certification in Healthcare Privacy Compliance – from HCCA, AHIMA or IAAP
• Registered Health Information Administrator (RHIA)

Required Criteria

• High School diploma or GED
• 10 years’ experience in healthcare compliance and Privacy
• Strong knowledge of 45 Code of Federal Regulations, Health Insurance Portability and Accountability Act (HIPAA), data security standards and requirements
• Extensive report writing experience and Policy & Procedure development experience
• Superior analytical, written, & oral communication s kills with the ability to negotiate sensitive issues when needed
• Experience in a supervisory capacity and ability to direct and develop others

Join a healthcare system where employee engagement is at an all-time high. Here we foster a culture of respect, belonging, and inclusion. Enjoy comprehensive and competitive benefits that support you and your family in every aspect of life. Start your life-changing journey today.

Please note that all roles require on-site presence (variable by role). Therefore, all employees should live within a commutable distance to NYP.

NYP will not reimburse for travel expenses.

__________________

• 2024 “Great Place To Work Certified”
• 2024 “America’s Best Large Employers” – Forbes
• 2024 “Best Places to Work in IT” – Computerworld
• 2023 “Best Employers for Women” – Forbes
• 2023 “Workplace Well-being Platinum Winner” – Aetna
• 2023 “America’s Best-In-State Employers” – Forbes
• “Silver HCM Excellence Award for Learning & Development” – Brandon Hall Group

NewYork-Presbyterian Hospital is an equal opportunity employer.

Salary Range:

It all begins with you. Our amazing compensation packages start with competitive base pay and include recognition for your experience, education, and licensure. Then we add our amazing benefits, countless opportunities for personal and professional growth and a dynamic environment that embraces every person. Join our team and discover where amazing works.