Per Diem Nursing Education Manager - Mount Sinai West - Labor and Delivery - split shifts

Responsible for the proper billing and charge capture of all billable physician-patient encounters, including monitoring of protocols and report generation as required by the medical center.

1. Develops, implements and monitors operational practices that maintain compliance with Mount Sinai policies, external regulations and audits recommendation while remaining within budgeted resources.

2. Supervise the day to day activities of Billing staff to maintain timely and accurate account management. Perform timely follow-up on problems with patient accounts.

3. Hires, trains, coaches, disciplines and evaluates staff to ensure smooth operations.

4. Consistently supports compliance by maintaining the privacy and confidentiality of information and adhering to applicable federal, state and local laws and regulations

5. Develops implements and evaluates performance indicators for staff members. Identifies additional training needs and monitors performance against established indicators. Participates in grievance meetings with union and Personnel.

6. Reviews internal controls to ensure proper billing of services within established time frames and guidelines. Develops production schedules to ensure proper staffing and production levels are maintained. Monitors, reviews and communicates billing procedures with support staff.

7. Monitors billing accuracy and timeliness to identify appropriate corrective actions, training and systems modifications.

8. Develops methodology necessary to identify all billable physician patient encounters and performed procedures.

9. Implements billing procedures and closely monitors accuracy of billing data submitted. Reviews of hospital admissions list to identify patients that fall within Medicare, 72 hour rule.

10. Reviews patient charges and other medical records to capture all billing. Resolves patient and customer complaints as necessary.

11. Researches patient demographics to track on system.

12. Performs data entry of billing information into system when necessary.

13. Meets with physicians regularly to discuss billing and chart documentation. Makes recommendations and changes to current processes to capture billable data.

14. Engages in performance appraisal and counseling process on subordinate personnel and participates in the interview process.

15. Tracks all staff time off and provides coverage for all billing personnel

16. Analyzes and distributes monthly and quarterly Faculty Practice reports. Provides timely management reports to senior leadership.

17. Keeps abreast of state and federal regulations governing reimbursement and departmental regulations, legal issues relating to inpatient and outpatient services

18. Performs other related duties.

 

Non-Bargaining Unit, BDA - Nursing Education - WST, Mount Sinai West

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.

We work hard to acquire and retain the best people and to create an inclusive, welcoming and nurturing work environment where all feel they are valued, belong and are able to professional advance. We share the belief that all employees, regardless of job title or expertise contribute to the patient experience and quality of patient care.

 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 treat