| About The Mount Sinai Hospital
Founded in 1852, The Mount Sinai Hospital is one of the country's oldest and largest voluntary teaching
hospitals. Mount Sinai is internationally acclaimed for excellence in clinical care, education, and scientific research in nearly every aspect of medicine. Mount Sinai's 1,171-bed tertiary-care teaching hospital with a medical staff of nearly 1,800 provides physicians who deliver the most advanced and compassionate inpatient and outpatient care. Located at 98th Street and Madison Avenue. The Mount Sinai Hospital serves Manhattan's Upper East Side of Harlem. Mount Sinai's state-of-the-art facilities include the unique Guggenheim Pavillion, the first hospital designed by internationally renowned architect I.M. Pei. Here, the most advanced scientific tools for diagnosis and treatment join an uplifting ambiance that uses natural light and space to keep patients' spirits bright and promote healing. Health Information Analyst
Job Description:
The Health Information Analyst must have a complete understanding of medical documentation and billing requirements in order to determine appropriate levels of professional Part B services. The Health Information Analyst is supervised by and reports to the Manager of the FPA Compliance Department and the Chief Compliance Officer. The Health Information Analyst is responsible for assigned projects and monitoring activities.
Monitoring Activities
Works closely with the Compliance Resource Team in monitoring assigned clinical areas/practices.
Reviews compliance program history for each physician in preparation for monitoring projects.
Analyzes utilization report information for each physician to be reviewed; works with Resource Team to select appropriate sample.
Requests medical records and copies pertinent information as appropriate.
Analyzes medical record documentation for appropriateness of services billed.
Performs chart abstraction either retrospectively or concurrently.
Enters information in the compliance database to generate reports.
Performs quality check to ensure accuracy data.
Generates a summary report for review with the Resource Team.
Maintains file of all monitoring data for each assigned area.
Creates and maintains personal work plan, project time line and project status reports.
Job Qualifications:
Knowledge, Skills and Abilities Required
Knowledge of CPT and ICD 9 and current HCFA/ Medicare rules regarding billing compliance.
Current professional coding certification is preferred
Minimum of three years of relevant experience.
Communication, interpersonal skills and follow up on issues in order to work effectively with a variety of individuals and groups both internally and externally.
Ability to prepare written reports in a timely manner, knowledgeable in basic data entry and experience in the usage of Windows Applications.
Ability to seek opportunities for professional growth and enhancement of current knowledge in billing compliance.
Mount Sinai Medical Center--An EEO/AA-D/V Employer.
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