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About the Role

Results-driven Professional Billing & Coding Supervisor with extensive experience leading multi-specialty physician coding operations, revenue cycle management, compliance oversight, charge capture, and reimbursement optimization. Proven success supervising coding teams, improving coding accuracy and productivity, reducing denials, ensuring regulatory compliance, and driving operational excellence through auditing, education, performance management, and process improvement initiatives.

Responsibilities

Lead and oversee professional billing, coding, charge capture, and Epic work queue operations, ensuring accurate, timely, and complaint claim submission, reimbursement, and revenue cycle performance.
Supervise, mentor, train, and evaluate coding staff, establishing productivity, quality, and compliance standards while fostering a high-performing and accountable team environment.
Direct multi-specialty physician coding activities, ensuring accurate assignment of CPT, ICD-10-CM, HCPCS, and modifiers in accordance with CMS, payer, and regulatory guidelines.
Manage coding quality assurance programs, compliance audits, and performance reviews to identify documentation deficiencies, coding trends, denial patterns, and revenue enhancement opportunities.
Serve as the primary coding and compliance subject matter expert, providing guidance to physicians, leadership, and staff regarding regulatory updates, payer policies, and reimbursement requirements.
Collaborate with physicians, clinical leadership, and revenue cycle stakeholders to improve documentation quality, coding accuracy, charge capture processes, and overall financial performance.
Oversee denial management initiatives by conducting root cause analyses, monitoring trends, implementing corrective actions, and reducing revenue leakage through proactive resolution strategies.
Monitor and resolve coding-related claim edits, missing charges, work queue exceptions, and billing discrepancies to improve clean claim rates and operational efficiency.
Develop and deliver ongoing provider and staff education programs focused on coding compliance, documentation improvement, CMS regulations, payer requirements, and industry best practices.
Lead departmental process improvement initiatives, policy development, system enhancements, and strategic projects while ensuring compliance with HIPAA, CMS, and organizational standards.

Requirements

Minimum of 3-year related work experience (preferable multi-specialty practice)
Comprehensive knowledge of coding and third-party insurance billing policies and procedures
Previous coding experience

Skills

Demonstrated ability to multi-task and prioritize in a fast-paced environment
Demonstrated strong communication and interpersonal skills
Demonstrated ability to interact with multiple constituencies and exercise "people skills"
Demonstrated ability to meaningfully contribute value as a member of a multi-disciplinary team, supporting coworkers when necessary to ensure a positive patient experience and smooth operations; including reliability and punctuality
Ability to make and be accountable for decisions
Demonstrated ability to recognize and resolve or refer problems and conflicts
Ability to recommend new procedures and participate in their implementation

Location

Upper East Side

Work Type

On-site

Experience Level

3+ years related work experience

Education Level

High school diploma or GED
Certified Professional Coder Certificate (CPC)

Salary/Compensations

$108,600.00 - $122,500.00

About the Company

Cornell welcomes students, faculty, and staff with diverse backgrounds from across the globe to pursue world-class education and career opportunities, to further the founding principle of “any person, any study.”

Equal Opportunity

No person shall be denied employment on the basis of any legally protected status or subjected to prohibited discrimination involving, but not limited to, such factors as race, ethnic or national origin, citizenship and immigration status, color, sex, pregnancy or pregnancy-related conditions, age, creed, religion, actual or perceived disability (including persons associated with such a person), arrest and/or conviction record, military or veteran status, sexual orientation, gender expression and/or identity, an individual’s genetic information, domestic violence victim status, familial status, marital status, or any other characteristic protected by applicable federal, state, or local law.
Cornell University embraces diversity in its workforce and seeks job candidates who will contribute to a climate that supports students, faculty, and staff of all identities and backgrounds.
We hire based on merit, and encourage people from historically underrepresented and/or marginalized identities to apply.
Consistent with federal law, Cornell engages in affirmative action in employment for qualified protected veterans as defined in the Vietnam Era Veterans’ Readjustment Assistance Act (VEVRRA) and qualified individuals with disabilities under Section 503 of the Rehabilitation Act.
We also recognize a lawful preference in employment practices for Native Americans living on or near Indian reservations in accordance with applicable law.