Revenue Cycle Specialist – Revenue Integrity, Pathology

Job not on LinkedIn

🕒 July 29

🗽 New York – Remote

🗽 New York – Remote

💵 $32 - $36 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 22%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Cornell University

WebsiteLinkedInAll Job Openings

1 - 10 employees

🏥 Healthcare

💼 Consulting

🍽️ Food & Beverage

Healthcare • Consulting • Food & Beverage

Cornell University is a prestigious Ivy League institution that provides a comprehensive education in various disciplines, placing a strong emphasis on research and academic excellence. It is home to Weill Cornell Medicine, which focuses on medical education, research, and patient care, contributing significantly to the fields of healthcare and biotechnology.

📋 Description

• Performs retrospective coding review of denied charges for physician services • Reviews medical records for completeness and accuracy to ensure documentation supports the services billed • Make corrections to charges when necessary to match the CPT and/or Diagnosis codes to the documentation as appropriate • Analyze for invalid denial trends, payer specific carrier submission requirements & system optimization • Performs extensive follow-up to investigate and resolve payment denial trends • Resolves outstanding accounts utilizing ancillary applications and websites as tools to retrieve medical documentation, claim status and billing guidelines • Researches and interprets payer contract terms and compiles necessary supporting documentation templates for appeals • Ensures denial reviews are conducted in a timely manner • Maintains up-to-date policies and procedures and knowledge related to managed care and third party payors • Participates in annual and on-going mandatory compliance training • Assists in training current and new employees on the use of systems and departmental policies and procedures

🎯 Requirements

• High school diploma or GED in related field • Certification as a Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) • Approximately 3-5 years of physician billing experience, specifically accounts receivable and collection experience • Knowledge of medical terminology • Knowledge of third-party reimbursement • Microsoft Excel and other reporting software to sort, filter, summarize, and identify various accounts receivable trends • Pathology experience preferred

🏖️ Benefits

• Health insurance • Continuing Education Units for maintaining certification status