• Job Type: Officer of Administration
• Regular/Temporary: Regular
• Hours Per Week: 35
• Salary Range: $70,300 - $80,000

Position Summary

The Professional Billing Compliance Coordinator for the Department of Medicine at CUIMC is responsible for the direct oversight of all billing compliance activities within the department.  The coordinator supports and ensures the accuracy and integrity of all coding and documentation practices across multiple divisions. The Coordinator ensures the implementation and application of Columbia University compliance policies, guidelines, and regulations, as well as federal and state requirements.

The position reports jointly to the Department of Medicine and the Office for Billing Compliance (OFBC), and works closely with faculty, practice managers, revenue cycle directors, the Clinical Revenue Office (CRO), and the OFBC to identify and resolve documentation, coding, and billing issues. A key responsibility includes conducting regular audits of departmentally submitted services, following a rolling yearly schedule within the compliance audit system. The Coordinator also plays a central role in audit preparation, results review, training, and identifying quality and improvement opportunities across the department.

Responsibilities

• Implement Columbia University compliance guidelines, regulations, policies, and recommendations across all divisions within the Department of Medicine. 
• Direct the application of The University?s and The Department?s compliance plans. Revise the departmental compliance plan annually and in partnership with the OFBC.
• In conjunction with the OFBC, develop department specific compliance educational programs focused on the department?s documentation, coding, and billing processes across all specialties.
• Perform provider audits scheduled throughout the year for all providers.
• Prepare and disseminate compliance information to all departmental staff and faculty.
• Provide general oversight of all billing activities, as they relate to compliance within the department.
• Develop methodology, implement, and monitor research-related billing activities within the department.
• Assist with other assignments and related responsibilities as needed.

Minimum Qualifications

• Bachelor?s degree in Healthcare Administration, Business, Finance, or related field; or equivalent combination of education and experience.
• Certified Professional Coder (CPC).
• Minimum of four (4) years of direct experience in healthcare billing, coding, and compliance, preferably in an academic medical center or large healthcare system.
• Current proficiency of CPT, ICD-10, HCPCS coding, and billing regulations.
• Excellent analytical, organizational, written, and oral communication skills, as well as excellent administrative and interpersonal skills. 
• Highly proficient in dealing with conflict and challenging situations.
• Ability to work independently and collaboratively in a fast-paced, multi-disciplinary environment.

Preferred Qualifications

• Certified Professional Medical Auditor (CPMA).
• Epic system experience.
• Knowledge of Columbia University and CUIMC policies and procedures related to clinical billing and compliance.

Other Requirements

• Successful completion of applicable compliance and systems training requirements.

Equal Opportunity Employer / Disability / Veteran

Columbia University is committed to the hiring of qualified local residents.

About Columbia University

Columbia University is one of the world's most important centers of research and at the same time a distinctive and distinguished learning environment for undergraduates and graduate students in many scholarly and professional fields. The University recognizes the importance of its location in New York City and seeks to link its research and teaching to the vast resources of a great metropolis. It seeks to attract a diverse and international faculty and student body, to support research and teaching on global issues, and to create academic relationships with many countries and regions. It expects all areas of the university to advance knowledge and learning at the highest level and to convey the products of its efforts to the world.

Connections working at Columbia University