Coding and Billing Analyst

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Salary Range

Overview

Under the direction and supervision of the Manager of YM Coding and Billing services or his/her designee, this position is responsible for processes to monitor the efficiency and accuracy of capturing, coding and processing all billable services for YM. Document, implement and monitor policies and operational workflows to streamline and optimize charge capture, ensuring accuracy and timeliness. Develop and monitor reports to assure compliance with established YM guidelines. Serves as a liaison and fosters collaboration among the clinical departments, revenue cycle services and compliance departments on all aspects of coding and billing, education and charge follow-up . Serves as expert resource for coders.

Required Skills and Abilities

1. Current CPC certification required. Knowledge of CPT, ICD-10, HCPCS codes, medical terminology, and HIPPA regulations. Experience with an electronic health record and practice application systems, electronic data entry, and web-based applications and websites. Expert proficiency with MS Word, Excel, PowerPoint, and Outlook (emails and calendars).
2. Knowledge of medical insurance billing procedures, third-party reimbursement methodologies and documentation/compliance requirements, government and commercial insurance rules and regulations pertaining to correct coding initiatives.
3. Well-developed problem solving skills with the ability to be innovative, ability to compile comprehensive analysis of data with complex and professional reporting of results, analyze and interpret detailed reports, develop clear conclusions and summarize findings.
4. Demonstrated ability to work independently as well as part of a cross-functional team to plan, research and conduct projects as well as manage timelines and work to achieve common goals.
5. Well-developed interpersonal, and oral and written communication skills demonstrating a high degree of professionalism, diplomacy and accountability.

Preferred Skills and Abilities

Epic experience strongly preferred.

Principal Responsibilities

Required Education and Experience

Bachelor’s Degree in Health Care Administration or RN and five years of related work experience or an equivalent combination of education and experience.

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Background Check Requirements

All candidates for employment will be subject to pre-employment background screening for this position, which may include motor vehicle, DOT certification, drug testing and credit checks based on the position description and job requirements. All offers are contingent upon the successful completion of the background check. For additional information on the background check requirements and process visit "Learn about background checks" under the Applicant Support Resources section of Careers on the It's Your Yale website.

Health Requirements

Certain positions have associated health requirements based on specific job responsibilities. These may include vaccinations, tests, or examinations, as required by law, regulation, or university policy.

Posting Disclaimer

Salary offers are determined by a candidate’s qualifications, experience, skills, and education in relation to the position requirements, along with the role’s grade profile and current internal and external market conditions.

The intent of this job description is to provide a representative summary of the essential functions that will be required of the position and should not be construed as a declaration of specific duties and responsibilities of the position. Employees will be assigned specific job-related duties through  their hiring department.

The University is committed to basing judgments concerning the admission, education, and employment of individuals upon their qualifications and abilities and seeks to attract to its faculty, staff, and student body qualified persons from a broad range of backgrounds and perspectives. In accordance with this policy and as delineated by federal and Connecticut law, Yale does not discriminate in admissions, educational programs, or employment against any individual on account of that individual’s sex, sexual orientation, gender identity or expression, race, color, national or ethnic origin, religion, age, disability, status as a special disabled veteran, veteran of the Vietnam era or other covered veteran.

Inquiries concerning Yale's Policy Against Discrimination and Harassment may be referred to the Office of Institutional Equity and Accessibility (OIEA).

Note

Yale University is a tobacco-free campus.