
Corporate Compliance Auditor
Hours: Full Time, Monday-Friday, 8:00am-4:00pm or 9:00am-5:00pm
Job Description:
South Nassau Communities Hospital is a 435-bed, acute care hospital located in Oceanside, NY. For 80 years, the Hospital has been committed to providing inpatient, ambulatory, home health, restorative, preventative and emergency medical care to Long Islanders. With more than 2700 employees and 820 physicians, South Nassau offers a broad range of services, excels in cancer and cardiac care, and provides comprehensive diagnosis, treatment, rehabilitation and support services.
We currently have a career opportunity in our Compliance Department as Compliance Auditor. This position allows a coder who wants a more diverse list of job duties a chance to interact daily with physicians, patient care services, as well as both inpatient and outpatient coders, and various other department staff regarding application of coding and documentation guidelines.
The successful applicant will:
- Perform compliance audits for coding, documentation and billing accuracy.
- Conduct educational sessions for physicians and coders.
- Analyze and prepare reports on completed audits.
Job Requirements
Associates degree with 5 years of inpatient and/or hospital outpatient coding experience in an acute care hospital required. Proficiency in Microsoft Word, Excel and Access preferred.
Registered Nurse (RN), DRG Validator experience, and/or working knowledge of 3M Encoder a plus.
Apply for this Job:
Contact Person: Judith Cohen
E-Mail Address: jlcohen@snch.org
Phone: (516) 632-3410
Fax: (516) 632-4605
Apply URL: https://www.healthcaresource.com/southnassau/index.cfm?fuseaction=search.jobDetails&template=dsp_job_details.cfm&cJobId=225740
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Department:
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Hospital Finance/Patient Accounts
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Job Title:
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TH Supervising Financial Analyst
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Professional Rank:
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SL-5
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Descriptive Title:
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Director of Patient Financial Services
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Line Number:
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Line# 51977
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Additional Position Information: Days of Week: Monday - Friday; Hours of Work: 9:00am to 5:00pm; Hours per Week: 37.5
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Brief Description of Duties:
This position reports to the AVP for Hospital Finance and is responsible for managing the operations of the Patient Accounts Department, which includes planning and developing policies and procedures to improve services and coordinating patient accounting processes with all revenue departments to ensure proper coding and billing. Responsibilities include but are not limited to the following: Formulate, implement and update all Inpatient and Outpatient related policies and procedures; train and educate all staff on the policies and procedures related to there function; monitor and evaluate staff on a regular basis. Develop processes to coordinate Inpatient and Outpatient billing services with all relevant departments and/or entities to ensure proper and timely reimbursements. Perform daily, weekly and monthly reviews and analysis of Inpatient and Outpatient Accounts Receivable; respond to audits and provide all necessary reports and Accounts Receivable data to the Hospital Finance Department. Work with Attorney General’s Office and the Collection Agency to develop and coordinate credit and collections, bad debt and administrative write off policies. Develop and maintain policies and procedures for processing all cash collected by the institution, including Hospital Outpatient and Physician billing; ensure that all cash received is posted and all reconciliation is done on a timely basis. Develop matrix to monitor overall staff performance and progress in overall patient receivables.
DUTIES AND RESPONSIBILITIES ARE NOT LIMITED TO THE ABOVE POSITION DESCRIPTION
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Qualifications:
REQUIRED: Bachelor’s degree, minimum of seven (7) years experience in healthcare finance including five (5) years in a supervisory capacity, comprehensive background in healthcare reimbursement and accounts receivable management. PREFERRED: Master’s Degree in Finance (Accounting)
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Interested applicants should send their resumes to:
Department of Human Resources
SUNY Downstate Medical Center
University Hospital of Brooklyn
The Employment Office
151 East 34th Street, Box 1194
Brooklyn, NY 11203
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Health Business Solutions
Position Description: Revenue Cycle Director
Title: Revenue Cycle Director
Status: Exempt
Location: New York, NY
GENERAL DESCRIPTION
The essential function of this position within the organization is to oversee all revenue cycle processes for a prominent Drug and Alcohol Rehab organization based the New York City area, including 16 remote intake and/or residential locations. This position is responsible for management and oversight of over 60 direct employees, coordination and completion of contract deliverables; interfacing with the client to ensure needs are proactively met; managing human capital; setting deadlines, assigning responsibilities, monitoring progress; preparing and presenting productivity and other reports for upper management regarding the status of the project. Position will rely on extensive experience and professional judgment to ensure project plans are developed and achieved.
PRIMARY DUTIES
This list represents the essential tasks that the position is responsible for:
- Patient registration and check-in
- Eligibility verification
- Charge entry
- Billing
- Payment/Denial Posting
- Follow-up and collection of accounts receivable
- Denial Recovery
- Reporting, includes general ledger and other related reports
- Maintenance of Accounts receivable ledger
- Medicaid and welfare application process
- Establishing and monitoring benchmark reporting
- Centralized scheduling
- Coding review
Qualifications:
- Bachelors Degree
- 10+ years of related revenue cycle management experience
- 3+ years of experience in drug and alcohol rehab revenue cycle management
Experience with Lytec Practice Management software a plus.
DGA PARTNERS
DGA Partners
Career Opportunity
Position: Manager
DGA Partners seeks to add a new member to our health care management consulting team.
Qualified candidates will have:
> An MBA (or equivalent degree) in health care management; a CPA, and/or ABV or CVA;
> At least 7 years of relevant experience, preferably in an accounting or consulting firm;
> A genuine interest in consulting to hospitals, health systems, and other health provider or service companies;
> Proven engagement management abilities;
> Ability to develop relationships with clients;
> Superior quantitative and financial skills;
> Excellent written and oral communication skills;
> Some track record and/or clear desire and potential to generate new business for the firm; and
> Desire to grow and be promoted to the Director and Principal positions.
We are seeking a candidate who is interested in a long-term position, growing and developing within the firm.
Please contact Dan Grauman at 800-241-5268 or dgrauman@dgapartners.com for more information.
About DGA Partners
DGA Partners (www.dgapartners.com) is a health care management consulting firm headquartered near Philadelphia in Bala Cynwyd, Pennsylvania, with additional offices in New York City and Washingon, D.C. We provide the following services:
> Planning:
o Strategic, Business, Financial and M&A
> Physician Alignment:
o Medical Staff Planning, Joint Venture Development, Physician Compensation Design, Physician Community Needs
> Valuation Services:
o Medical Practice and Business Valuations, Compensation Fair Market Value Opinions, Litigation Support
> Business Intelligence and Operations:
o Business Requirements for IT, Business Intelligence Tools, Payer Contracting and Care Management
DGA Partners serves hospitals and health systems, other health services companies, health networks, and health plans. Our client base is concentrated in the mid-Atlantic region.
DGA Partners is comprised of a team of highly experienced and seasoned professionals, providing a rich environment for expanding one’s knowledge in the health care industry.
Founded in 1994, DGA offers a broad range of services that complement each other, allowing us to provide strategic advice on our financial/data oriented engagements, and detailed financial/data analysis in support of our strategic engagements. We pride ourselves in providing substantive analysis and advice to our clients.
Our Corporate Culture
DGA Partners is committed to a positive work environment that balances work and family priorities. Many of DGA’s management consulting engagements are completed without extensive time at the client site. Therefore, the position requires far less travel than similar positions at other firms.
As a relatively smaller firm, we have avoided many of the bureaucratic inefficiencies of larger firms. As a result, we have succeeded in nurturing a positive and collegial work environment.
DGA Partners also believes that reasonable work hours lead to better service to our clients and more committed and content staff. We generally succeed in striking this balance, although from time to time we do experience the typical consulting firm fluctuations in workflow. It is essential that staff have the ability to “flex-up” when necessary to meet client needs.
Charge Capture Process Improvement Analyst
As one of the most respected healthcare organizations in New York, NYU Langone Medical Center looks for detail-oriented professionals with the talent, dedication and ambition needed to help us continue our tradition of success. Currently, our Revenue Initiatives Department is seeking a Charge Capture Process Improvement Analyst.
Candidate duties include identifying, reporting, and tracking of charge capture incidents to achieve 100% complete and timely resolution of charge capture issues. They will facilitate and coordinate the information flow between clinical departments, IT, revenue cycle operations, and various other parties to ensure that charge capture issues are surfaced and followed up appropriately. They will also coordinate, schedule, and develop presentation material for process improvement work group and executive level meetings. In addition they will maintain an issue/incident log to insure that root causes are identified and corrected to reduce charge capture delays; as well as assist clinical departments in devising reconciliation procedures, work flow processes, and reporting tools for process improvement.
Qualifications include a bachelor’s degree (or its equivalent) in economics/statistics, finance, business management, healthcare administration or a related field; 3-5 years’ related healthcare administrative/financial or revenue cycle analysis experience; and a working knowledge of financial analysis, budgeting and business process analysis.
Applicants must also have a comprehensive understanding of hospital revenue cycle workflows, healthcare billing, healthcare information systems, and other related healthcare topics. Proficiency in multiple MS Office products, excellent communication, and analytical skills are essential to success.
We offer a competitive compensation package and a flexible work environment. For further information and to apply online, please visit www.apply.nyumc.org. You may also forward your resume to Christopher.mcbride@nyumc.org or fax it to 212-404-3888. We are an equal opportunity employer.
SENIOR FINANCIAL/REIMBURSEMENT ANALYST
Multi-facility medical center, part of Catholic Health Services of Long Island seeks a Senior Financial/Reimbursement Analyst for Budget & Reimbursement Department. Applicant should have 3 to 5 years related experience with a bachelor’s degree in accounting or other financial discipline. Position will assist in preparation of annual operating budget and Medicare and Medicaid institutional cost report and other reporting requirements. Prepare revenue analysis for monthly financial statements, statistical reports, profit/loss statements, third party liabilities and other rate analysis as needed. Strong computer skills required. Please go to http://www.healthcaresource.com/chslivilla to apply.
FINANCIAL/REIMBURSEMENT ANALYST
Multi-facility medical center, part of Catholic Health Services of Long Island seeks a Financial/Reimbursement Analyst for Budget & Reimbursement Department. Applicant should have 1 to 2 years related experience with a bachelor’s degree in accounting or other financial discipline. Position will assist in preparation of annual operating budget and Medicare and Medicaid institutional cost report and other reporting requirements. Prepare revenue analysis for monthly financial statements, statistical reports, profit/loss statements, third party liabilities and other rate analysis as needed. Strong computer skills required. Please go to http://www.healthcaresource.com/chslivilla to apply.
SUPERVISOR OF PATIENT ACCOUNTS
Description of Duties:
This position reports to the Director of Patient Accounts and is responsible for supervising the operations of Patient Accounts Billing (i.e., Inpatient, Out Patient, Home Care and Hospice). The successful candidate must possess the skills to plan, develop, update, implement and monitor Policies and Procedures. Other key tasks include, ensuring timely reimbursements, performing detailed receivable quality reviews, present monthly comments and reporting for analysis of accounts receivable, respond timely to audits, coordinate collections referrals and write off policies, ensure that all cash received is posted and all reconciliation is done on a timely basis.
Qulaifications:
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Minimum of High School diploma, bachelor’s degree preferred.
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At least four (4) years in the field or related area.
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Knowledge of Excel a plus
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Knowledge of Siemen’s Invision
Please send resumes and Cover Letters to vloperfido@calvaryhospital.org. Include
Chief Financial Officer
Episcopal Health Services (EHS) located In Far Rockaway Queens seeks a CFO. EHS consists of St. John's Episcopal Hospital, a 332-Bed Community Teaching Hospital, Charles Waldo MacLean Episcopal Nursing Home, a 163-Bed facility and the Bishop Henry B. Hucles Episcopal Nursing Home, a 240-bed state-of-the-art facility.
This position represents an outstanding opportunity for an established financial executive looking to grow an institution and more closely align the finance department with operations. We seek a team player who is interested in getting involved in all aspects of the business and who is creative and innovative. This person understands risk but is still willing to try new things and push the envelope. We seek a problem solver who can create meaningful systematic reporting tools and controls. Interested candidates should contact Brian Joyce at Korn/Ferry international at 203-406-8765 or brian.joyce@kornferry.com
Senior Director – Musculoskeletal Strategic Clinical Area
NYU Langone Medical Center is currently seeking a Senior Director for our Musculoskeletal Strategic Clinical Area (MSCA). This position will be an integral member of our Hospital Operations Team and Finance Department with broad responsibilities in financial and strategic planning, budgeting, operations and reporting. If you’re ready to move forward in your career with one of the nation’s most respected healthcare providers, learn more about this tremendous opportunity today.
In this role, you will provide support with all fiscal matters affecting the medical center and MSCA to help optimize financial performance. Duties include developing budgets; serving as a financial consultant for senior leadership; directing staff; preparing financial and statistical reports; identifying ways to improve business operations; facilitating the implementation of revenue cycle and other initiatives; and helping resolve costing, charge and productivity issues.
We’re looking for a detail-oriented individual with a high mathematical aptitude and excellent leadership, communication, interpersonal, organizational, analytical, problem-solving and presentation skills. To qualify, you must have a Bachelor’s degree in accounting or finance (MBA preferred), 12-15 years of hospital finance experience, and a sound understanding of hospital clinical and financial operations. Proficiency with Microsoft Office and Crystal Reports software is also required.
We offer a competitive compensation package and a stimulating work environment. For further information and to apply, please send your resume and a comprehensive cover letter indicating salary requirements via e-mail: Nelly.Duchatellier@nyumc.org or fax: 212-404-3888. You also may apply online at www.apply.nyumc.org. We are an equal opportunity employer.

The Stellaris Health Network Managed Care Department is currently seeking a qualified candidate for:
Director of Managed Care
The Director of Managed Care is responsible for the analytic and support requirements associated with managed care contracting and operations for a four-hospital system.
The successful candidate must have at least five years experience in financial analysis and managed care operations. An undergraduate degree in Accounting or Business Administration is required. Strong analytical and finance skills are essential, as well as proficient use of Microsoft Excel, Access, Word and Power Point.
This position reports to the Vice President & CFO in Armonk, NY.
For confidential consideration, please e-mail your resume, including cover letter and salary history, to jlpawlowski@stellarishealth.org or fax to (914) 765-0960.
Position: Manager
DGA Partners seeks to add a new member to our health care management consulting team.
Qualified candidates will have:
> An MBA (or equivalent degree) in health care management; a CPA, and/or ABV or CVA;
> At least 7 years of relevant experience, preferably in an accounting or consulting firm;
> A genuine interest in consulting to hospitals, health systems, and other health provider or service companies;
> Proven engagement management abilities;
> Ability to develop relationships with clients;
> Superior quantitative and financial skills;
> Excellent written and oral communication skills;
> Some track record and/or clear desire and potential to generate new business for the firm; and
> Desire to grow and be promoted to the Director and Principal positions.
We are seeking a candidate who is interested in a long-term position, growing and developing within the firm.
Please contact Dan Grauman at 610-667-8782 or dgrauman@dgapartners.com for more information.
Regulatory Affairs Director
The Regulatory Affairs Director is responsible for general oversight and ensuring regulatory compliance with Federal and State regulations for Comprehensive Care Management’s (CCM) the health plan activities which includes our PACE program, Managed Long Term Care program, and our Medicare Advantage Products. Plan oversight will include regulatory submissions and monitoring operation functions including Medicare Part D pharmacy benefit management and Plan Operations such as enrollment, premium billing, member service, etc, claims processing, and quality improvement. The Regulatory Affairs Director coordinates the compliance oversight activity of organization for Medicare, Medicaid and any future CCM program.
Major Responsibilities
- Act as liaison and point of contact with New York State Department of Health and Department of Insurance, the Centers for Medicare and Medicaid Services (CMS) regional/central offices, and the various LDSS offices for oversight, regulatory, and compliance issues
- Create compliance plan, including monitoring and annual audit schedule in conjunction with Contract and Compliance Officer, and prepare detailed audit reports for management
- Conduct department audits and monitoring functions to ensure compliance with CMS, State and Local standards and requirements
- Review all marketing materials to validate compliance with all CMS and State requirements. Monitor marketing practices to ensure compliance with MIPPA and State regulations.
- Submit and track all marketing material to CMS and State. Distribute CMS revisions and approvals to Marketing Department, and circulate HPMS tracking log to key participants on a regular basis.
- Coordinate compliance program activities with support of Contract and Compliance Officer and Quality Improvement Department.
- Facilitate monthly Executive Compliance Committee meeting. Establish agenda, priorities, take minutes and complete follow-up tasks associated with Committee.
- Ensure that departments and delegated vendors have documented, workflows, processes, marketing material, and policies and procedures in place to ensure compliance with CMS, State and Local requirements
- Coordinate all State and CMS audits, including site visits with delegated vendors
- Monitor development and execution of corrective action plans to remediate deficiencies identified by CMS or during other external and internal audits
- Coordinate attestations and other required documents for submission to CMS and the State
- Develop comprehensive project plans, prioritize and execute tasks to implement changes in regulations, including coordinating oversight of delegated vendors
- Identify areas of potential compliance risk and develop solutions for risk mitigation with the Contract and Compliance Officer.
- Implement CMS' Part D Oversight Strategy.
- Ensure NY State, Medicaid, and CMS' compliance and program integrity obligations are met with a comprehensive program that includes fraud, abuse and waste elements
- Monitor and communicate CMS, State and Part D regulations and promote compliance awareness to operational areas in collaboration with internal staff and delegated vendors
- Must be able to research, interpret and communicate federal and state laws and guidelines pertaining to Medicare
- Collaborate in the implementation of new regulations
- Act as a resource on regulatory and compliance issues or questions
- Conduct compliance oversight activities, such as secret shopper evaluations and call monitoring
- Maintain compliance oversight metrics and reporting systems
Qualifications
- Bachelor’s Degree preferred but will consider an equivalent combination of education and experience.
- Minimum of 4 years experience in Medicare and/or health care compliance; operational experience a plus.
- Knowledge of CMS, Medicare and Part D regulations
- Knowledge of compliance principles, practices, and procedures
- Knowledge of federal and state and regulatory approval process
- Excellent written and oral communication skills
- Demonstrated ability to effectively influence others to accomplish project goals
- Demonstrated initiative to identify issues and recommend solutions
- Ability to work independently, manage multiple projects and meet scheduled deadlines
- High degree of professionalism; ability to effectively interact with all levels of staff and management
- Ability to develop and implement audit plans, protocols and outcome reports.
- Data analysis skills; knowledge of process improvement a plus.
- Ability to interact appropriately with all levels of management and third parties. Excellent communication skills.
If you or someone you know might have an interest in applying for this position please do not hesitate to contact Sima Vaisman at 203-975-6684 or email to svaisman@rjsstamford.com.
ASSOCIATE DIRECTOR - CODING
- Department: Health Information Management
- Schedule: Full-Time Shift: Days (Shift 1)
- Hours: Monday - Friday 9am-5pm
- Job Details: - High School Diploma/GED/Equivalent
- CCS (Certified Coding Specialist)
- Position Requirements: Minimum of a High School Diploma, college preferred. RHIT, RHIA, or AHIMA CCS Certification required. Three years of current in-patient and out-patient coding experience. Knowledge of DRG Assignments, appeals process, medical anatomical, physiological and disease process terminology. RHIT preferred.
The Associate Director of Inpatient Coding is responsible for the coordination and management of inpatient coding. He/She must be able to apply the appropriate diagnostic and procedural codes to the individual patient health information, as conveyed by clinical members of the medical, nursing and ancillary staff.
Click Here to Apply Online
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