Financial Analyst

Manage coding and provide education regarding documentation requirements for the Outpatient Cancer Center which includes hematology/oncology infusion and transfusion services to improve quality of coding, documentation and to ensure accurate and complete capture of revenue.

1. Responsible for performing specialty coding for the Outpatient Cancer Center which includes hematology/oncology infusion services, medical office visits, and transfusion services.
2. Validate and determine appropriate coding levels by obtaining and reviewing clinical documentation.
3. Compare and review charge tickets, both manually and system generated, to clinical documentation to ensure that all charges for procedures and pharmacy items have been accurately documented and captured.
4. Ensure that documentation supports charges to prevent denials/underpayments.
5. Follow-up on missing charge tickets and clinical documentation as appropriate
6. Assist with implementation of documentation and revenue enhancement opportunities.
7. Develop a working relationship with clinical staff to identify and implement appropriate documentation and coding modifications.
8. Review and distribute coding related information to clinical staff, including CPT and ICD-9 code changes, medical necessity policies, coding /billing information regarding new procedures and pharmacy items.
9. In conjunction with Sr. Financial Analyst, identify relevant charge master updates.
10. Responsible for resolving any coding related errors and denials that are identified by Hospitals billing system as part of the revenue enhancement initiatives.
11. Consults and provides feedback with frontline clinical staff and financial counselors to identify reimbursable indications for treatment.
12. Assists on reviews of revenue cycle with Sr Financial Analyst and Director of Revenue Cycle.
13. Participate in education programs to maintain up to date coding skills.
14. Working with Compliance, coordinate random chart audits to ensure appropriate documentation, coding and billing.

• HS/GED required, Associates degree preferred.
• Certification as RHIA, RHIT, CPC, CPC-H, CCS, CCS-P or any other coding related and nationally recognized designation is required
• Oncology related coding experience is helpful, but Outpatient coding is required.
• Oncology business office or patient accounts experience a plus.
• Knowledge of facility based billing/reimbursement methodologies including APCs, as well as knowledge of federal, state and payer specific regulations and policies is a plus.
• Exposure or participation in documentation improvement programs is helpful but not mandatory.
• Excellent verbal and written communication and computer skills are essential.
• Certification as RHIA, RHIT, CPC, CPC-H, CCS, CCS-P or any other coding related and nationally recognized designation is required

Compensation Statement

The Mount Sinai Health System (MSHS) provides salary ranges that comply with the New York City Law on Salary Transparency in Job Advertisements. The salary range for the role is $66,482.07 - $81,675.00 Annually. Actual salaries depend on a variety of factors, including experience, education, and operational need. The salary range or contractual rate listed does not include bonuses/incentive, differential pay or other forms of compensation or benefits.