Senior Reimbursement Analyst-Hybrid 150 East 42nd Street

The Senior Reimbursement Analyst initiates systems to capture all inpatient and outpatient charges. This individual takes a lead role in the monitoring of managed care, commercial and federal contracts to assure the recovery of all inpatient and outpatient charges in accordance with established fee schedules and ensures compliance with Medicare and other insurance carrier guidelines.

• Assumes a lead role in ensuring that fee schedules, Current Procedural Terminology (CPT) and International Statistical Classification of Diseases (ICD-9) codes are accurately entered in the billing system.
• Identifies and defines appropriate CPT codes for existing and new services. Ensures that updated fee schedules for Medicare, Medicaid, commercial and managed care carriers are correctly entered in the billing system.
• Analyzes payments for high volume and high dollar procedures to assure that Medicine FPA billing is paid appropriately; analyzes payment trends to identify patterns of payment denials.
• Coordinates initiatives with the billing and collection area to initiate plans for resolving billing disputes.
• Keeps abreast of changes in Medicare and Medicaid regulations that impacts Practice and Billing Office operations.
• Provides on-going in-service training for staff on proper coding guidelines, insurance regulations, medical records and physician documentation and signature requirements.
• Trains and mentors less experienced reimbursement and related revenue capture staff.
• Performs other related duties.

• Associates degree in accounting or business related field; Bachelors degree preferred
• 5+ years (higher preferred) of insurance billing and collection procedures in a health care environment

Compensation Statement

The Mount Sinai Health System (MSHS) provides a salary range to comply with the New York City Law on Salary Transparency in Job Advertisements. The salary range for this role is $65,885.00 - $98,827.00 Annually. Actual salaries depend on a variety of factors, including experience, education, and hospital need. The salary range or contractual rate listed does not include bonuses/incentive, differential pay or other forms of compensation or benefits.

Non-Bargaining Unit, 506 - Chargemaster/Projects - MSH, Mount Sinai Hospital

Strength Through Diversity

The Mount Sinai Health System believes that diversity, equity, and inclusion are key drivers for excellence. We share a common devotion to delivering exceptional patient care. When you join us, you become a part of Mount Sinai’s unrivaled record of achievement, education, and advancement as we revolutionize medicine together. We invite you to participate actively as a part of the Mount Sinai Health System team by:  

• Using a lens of equity in all aspects of patient care delivery, education, and research to promote policies and practices to allow opportunities for all to thrive and reach their potential.
• Serving as a role model confronting racist, sexist, or other inappropriate actions by speaking up, challenging exclusionary organizational practices, and standing side-by-side in support of colleagues who experience discrimination.
• Inspiring and fostering an environment of anti-racist behaviors among and between departments and co-workers.

At Mount Sinai, our leaders strive to learn, empower others, and embrace change to further advance equity and improve the well-being of staff, patients, and the organization.  We expect our leaders to embrace anti-racism, create a collaborative and respectful environment, and constructively disrupt the status quo to improve the system and enhance care for our patients. We work hard to create an inclusive, welcoming and nurturing work environment where all feel they are valued, belong and are able to advance professionally.

 Explore more about this opportunity and how you can help us write a new chapter in our history!

“About the Mount Sinai Health System:

Mount Sinai Health System is one of the largest academic medical systems in the New York metro area, with more than 43,000 employees working across eight hospitals, more than 400 outpatient practices, more than 300 labs, a school of nursing, and a leading school of medicine and graduate education. Mount Sinai advances health for all people, everywhere, by taking on the most complex health care challenges of our time — discovering and applying new scientific learning and knowledge; developing safer, more effective treatments; educating the next generation of medical leaders and innovators; and supporting local communities by delivering high-quality care to all who need it. Through the integration of its hospitals, labs, and schools, Mount Sinai offers comprehensive health care solutions from birth through geriatrics, leveraging innovative