Revenue Cycle Specialist-Patient Financial Services- Corporate Full-Time -Days

Revenue Cycle Specialist - Patient Financial Services-Corporate- Full-Time Days                   

Responsible for reviewing and maintaining CDM, ensuring all data elements are accurate and comply with all payors requirements. Provides education regarding documentation requirements to improve coding quality and ensure accurate and complete capture of maximum revenue.

• Maintains CDM (Charge Description Master) and/or other pertinent regulations and policies, ensuring all data elements are accurate and comply with all payor and regulatory requirements.
• Reviews and interprets various regulatory billing and coding updates, to remain compliant and accurate to minimize mis-billings.
• Resolves issues that arise from information submitted and revenue cycle issues.
• Provides validation reviews, audits, documentation and training for the area of knowledge, sharing information with Finance, Medical Records and other revenue producing areas or departments.
• Provides training and mentorship to specific revenue producing departments.
• Other duties as required.

• Associates Degree. Bachelors degree preferred or an equivalent combination of education and work experience
• 2+ years (greater preferred) of experience in medical practice/outpatient coding and /or medical practice business office or patient accounts experience is preferred.
• Preferred coding certificate/licensure
• MS office Suite (Intermediate) 

 

General Skills:

• Understanding of CPTs, HCPCS, APCs, DRGs and OPPS required.
• Must have strong understanding of Medicare, Medicaid and third party payor rules and regulations and thorough knowledge of UB-92 data element requirements. 
• Excellent analytical, problem solving and interpersonal and communication skills. 
• Must be able to work independently and on a team.
• This position has external contacts with third party and governmental websites/phone and various medical coding website/phone

 

Non-Bargaining Unit, 518 - PFS 633 Third Avenue - MSH, Mount Sinai Hospital

Strength through Unity and Inclusion

The Mount Sinai Health System is committed to fostering an environment where everyone can contribute to excellence. We share a common dedication to delivering outstanding patient care. When you join us, you become part of Mount Sinai’s unparalleled legacy of achievement, education, and innovation as we work together to transform healthcare. We encourage all team members to actively participate in creating a culture that ensures fair access to opportunities, promotes inclusive practices, and supports the success of every individual.

At Mount Sinai, our leaders are committed to fostering a workplace where all employees feel valued, respected, and empowered to grow. We strive to create an environment where collaboration, fairness, and continuous learning drive positive change, improving the well-being of our staff, patients, and organization. Our leaders are expected to challenge outdated practices, promote a culture of respect, and work toward meaningful improvements that enhance patient care and workplace experiences. We are dedicated to building a supportive and welcoming environment where everyone has the opportunity to thrive and advance professionally. Explore this opportunity and be part of the next 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 48,000 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 approaches such as artificial intelligence and informatics while keeping patients’ medical and emotional needs at the center of all treatment. The Health System includes more than 9,000 primary and specialty care physicians; 13 joint-venture outpatient surgery centers throughout the five boroughs of New York City, Westchester, Long Island, and Florida; and more than 30 affiliated community health centers. We are consistently ranked by U.S. News & World Report's Best Hospitals, receiving high "Honor Roll" status, and are highly ranked: No. 1 in Geriatrics, top