Are you looking to take your career to new heights with a leader in healthcare? SUNY Downstate Health Sciences University is one of the nation's leading metropolitan medical centers. As the only academic medical center in Brooklyn, we serve a large population that is among the most diverse in the world. We are also highly-ranked by Castle Connolly Medical, a healthcare rating company for consumers, among the top 5 leading U.S. medical schools for training doctors.
The Office of Compliance and Audit Services at SUNY Downstate Health Sciences University is seeking a Revenue Cycle Advisor. The successful candidate will:
Be responsible for providing guidance and expertise related to hospital and physician revenue cycle issues.
Reading and analyzing new laws and regulations to identify key and regulatory changes impacting revenue cycle compliance, including changes reflected in the Inpatient & Outpatient Prospective Payment System rules and Physician Fee Schedules.
Creating Informational based Narrative to highlight area requiring focus by hospital administration, and to guide and improve revenue cycle processes.
Serving as the expert to provide guidance and direction to senior management related to new proposed business models and payment structures.
Reviewing draft reports prepared by the Documentation & Coding Audit group to ensure correct interpretation of audit results.
Using knowledge and experience to analyze detailed financial and coding data to identify reimbursement concerns, underlying root causes, and other related issues, as requested by senior management.
Providing some assistance and support to Vice President of Compliance & Audit Services by:
Performing an annual revenue cycle compliance risk assessment for the identification and mitigation of revenue cycle risk and identifying areas to include in the annual compliance & audit work-plan;
Investigating and providing guidance on audits and inquiries brought forward by the internal staff, government agencies and/or commercial payers impacting revenue cycle issues;
Acting in a project management capacity for revenue cycle related initiatives.
Updates revenue cycle audit tools and templates, as necessary.
Update revenue cycle training materials, as necessary.
Bachelor’s Degree with a minimum of 20 years in healthcare regulatory compliance, 15 of which must be in a State academic medical center setting.
Demonstrated knowledge and understanding of healthcare revenue cycle requirements, including Medicare, Medicaid, third party payer coverage and reimbursement practices.
Ability to effectively and accurately analyze healthcare laws and regulation.
Excellent oral and written communication skills.
Commensurate with experience and qualifications
Pursuant to Executive Order 161, no State entity, as defined by the Executive Order, is permitted to ask, or mandate, in any form, that an applicant for employment provide his or her current compensation, or any prior compensation history, until such time as the applicant is extended a conditional offer of employment with compensation. If such information has been requested from you before such time, please contact the Governor’s Office of Employee Relations at (518) 474-6988 or via email at email@example.com.
Equal Employment Opportunity Statement:
SUNY Downstate Health Sciences University is an affirmative action, equal opportunity employer and does not discriminate on the basis of race, color, national origin, religion, creed, age, disability, sex, gender identity or expression, sexual orientation, familial status, pregnancy, predisposing genetic characteristics, military status, domestic violence victim status, criminal conviction, and all other protected classes under federal or state laws.
Women, minorities, veterans, individuals with disabilities and members of underrepresented groups are encouraged to apply.
If you are an individual with a disability and need a reasonable accommodation for any part of the application process, or in order to perform the essential functions of a position, please contact Human Resources at 718-270-3025.
Internal Number: 494777
About SUNY Downstate Health Sciences University
SUNY Downstate's College of Medicine, Health Related Professions, Nursing and its School of Graduate Studies offer students a broad professional education that will prepare them for practice or careers in any location and community. This education provides exceptional opportunities for those students with a commitment to promoting health in urban communities and addressing the complex challenges of investigating and preventing diseases that confront clinicians, educators, and researchers in such an environment. This special aspect of Downstate's unique mission is reflected in the students it attracts and selects, the vast majority of whom are drawn from the New York City Metropolitan area. Many of these students are members of minority and cultural groups underrepresented in the health professions, and/or come from families of first-generation immigrants or from economically disadvantaged backgrounds.