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Privacy & Compliance Coordinator
Category: Education
  • Your pay will be discussed at your interview

Job code: lhw-e0-90673497

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Weill Cornell Medical College

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  Job posted:   Thu Jun 7, 2018
  Distance to work:   ? miles
  1 Views, 0 Applications  
Privacy & Compliance Coordinator
Position Summary
Responsible for reviewing medical records for compliance with coding and documentation requirements, accurately responding to and processing requests for the disclosure of protected health information (PHI) according to government and WCM regulations, ensure patient privacy and assist in privacy investigations.
Job Responsibilities
+ Performs ongoing prospective coding & documentation chart reviews for physician services to ensure that ICD-10-CM, CPT,HCPCS & HCC coding supports the services billed. Identifies issues & patterns related to coding inaccuracy & reports pertinent findings.
+ Participates in annual and on-going mandatory compliance training. Fulfills Continuing Education Units necessary to maintain certification status.
+ Remains knowledgeable and current with compliance, privacy and release of information regulations.
+ Reviews and processes Release of Information (ROI) requests. Monitors various systems/reports to ensure the timely processing of requests.
+ Processes incoming and outgoing mail, faxes and emails on a daily basis. Receives and responds to calls to the department and routes them appropriately.
+ Determines records to be released by reviewing requestor information in accordance with HIPAA, State and WCM policies and procedures.
+ Participates in processing Business Associates Agreements (BAA).
+ Participates in privacy investigations.
+ Assists in clinical research audits.
+ Performs other related duties as directed.
+ High School Diploma
College Degree Preferred.
Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA) preferred.
Approximately 1 year of experience in physician billing, CPT, ICD-10-CM or HCPCS Coding.
Working knowledge of federal and state billing, documentation and compliance regulations.
Knowledge of third party insurance billing policies and procedures.
Knowledge, Skills and Abilities
+ Ability to perform duties in a highly organized, efficient and reliable manner.
+ Conducts job related activities in a highly confidential manner and in accordance with the Health Insurance Portability and Accountability Act (HIPAA) guidelines.
+ Must be able to work independently and use sound judgment to execute assignments.
+ Demonstrated proficiency with MS Office Suite and database applications.
+ Strong critical thinking and problem solving skills with proven ability to apply creative approaches to complicated questions.
+ Excellent customer service skills.
Licenses and Certifications
+ Certified coder (CPC, CCS-P, or CPC-A, CCA)
Working Conditions/Physical Demands
Weill Cornell Medicine is a comprehensive academic medical center that's committed to excellence in patient care, scientific discovery, and the education of future physicians in New York City and around the world. Our doctors and scientists-faculty from Weill Cornell Medical College, Weill Cornell Graduate School of Medical Sciences, and the Weill Cornell Physician Organization-are engaged in world-class clinical care and cutting-edge research that connect patients to the latest treatment innovations and prevention strategies. Located in the heart of the Upper East Side's scientific corridor, Weill Cornell Medicine's powerful network of collaborators extends to its parent university Cornell University; to Qatar, where an international campus offers a U.S. medical degree; and to programs in Tanzania, Haiti, Brazil, Austria and Turkey. Our medical practices serve communities throughout New York City, and our faculty provide comprehensive care at NewYork-Presbyterian Hospital/Weill Cornell Medical Center, NewYork-Presbyterian/Lower Manhattan Hospital, and NewYork-Presbyterian/Queens. At Weill Cornell Medicine, we work together to treat each individual, not just their conditions or illnesses, as we strive to deliver the finest possible care for our patients - the center of everything we do. Weill Cornell Medicine is an Equal Employment Opportunity/Minorities/Females/Vet/Disabled employer.

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