Quality Assurance Analyst

NYU Langone Health is a fully integrated health system that consistently achieves the best patient outcomes through a rigorous focus on quality that has resulted in some of the lowest mortality rates in the nation. Vizient Inc. has ranked NYU Langone the No. 1 comprehensive academic medical center in the country for three years in a row, and U.S. News & World Report recently placed nine of its clinical specialties among the top five in the nation. NYU Langone offers a comprehensive range of medical services with one high standard of care across 6 inpatient locations, its Perlmutter Cancer Center, and over 320 outpatient locations in the New York area and Florida. With $14.2 billion in revenue this year, the system also includes two tuition-free medical schools, in Manhattan and on Long Island, and a vast research enterprise with over $1 billion in active awards from the National Institutes of Health.

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Position Summary:
We have an exciting opportunity to join our team as a Quality Assurance Analyst.

In this role, the successful candidate reporting to the Quality Assurance Manager, the Quality Assurance Analyst is responsible for coordinating quality assurance procedures, auditing and monitoring user performance, and proposing preventive measures to correct and improve business processes in order to meet established Hospital Billing (HB) quality standards. The ideal candidate demonstrates strong oral and written communication skills, a comprehensive understanding of hospital billing revenue cycle workflows, strong attention to detail, and initiative in identifying issues, opportunities, and solutions.

Job Responsibilities:

• Review and understand workflows and standard operating procedures related to Hospital Billing revenue cycle functions, including (but not limited to) authorizations, coding, correspondence, claims, accounts receivable, and credits.
• Utilize HB Pathways and documentation as a guide for determining appropriate actions to resolve unpaid or incorrectly paid claims as part of workflow quality reviews.
• Perform audits of work completed in accordance with established standard operating procedures.
• Demonstrate the ability to independently perform operating procedures in areas subject to audit.
• Compare benchmark results to NYU Hospital Billing standards for both internal and offshore teams.
• Track, analyze, and report employee performance against established quality and productivity standards.
• Adhere to departmental compliance policies and patient confidentiality requirements.
• Participate actively in team meetings, calibration sessions, and workflow development initiatives.
• Ensure employee activities align with departmental protocols and comply with Federal, State, and payer regulations and guidelines.
• Assist with special projects as assigned.
• Perform other duties as required.

Additional Position Specific Responsibilities:
Requires up to 20% travel, including domestic offices and periodic international vendor site

Minimum Qualifications:
To qualify you must have a Bachelor's degree required
1-3 years of experience in a hospital billing or healthcare revenue cycle environment preferred
Prior experience in healthcare finance, operations, medical reimbursement, and managed care contracts
Working knowledge of hospital billing revenue cycle processes
Experience using Tableau

Qualified candidates must be able to effectively communicate with all levels of the organization.

NYU Langone Health provides its staff with far more than just a place to work. Rather, we are an institution you can be proud of, an institution where you'll feel good about devoting your time and your talents.

At NYU Langone Health, we are committed to supporting our workforce and their loved ones with a comprehensive benefits and wellness package. Our offerings provide a robust support system for any stage of life, whether it's developing your career, starting a family, or saving for retirement. The support employees receive goes beyond a standard benefit offering, where employees have access to financial security benefits, a generous time-off program and employee resources groups for peer support. Additionally, all employees have access to our holistic employee wellness program, which focuses on seven key areas of well-being: physical, mental, nutritional, sleep, social, financial, and preventive care. The benefits and wellness package is designed to allow you to focus on what truly matters. Join us and experience the extensive resources and services designed to enhance your overall quality of life for you and your family.

NYU Langone Health is an equal opportunity employer and committed to inclusion in all aspects of recruiting and employment. All qualified individuals are encouraged to apply and will receive consideration. We require applications to be completed online.

View Know Your Rights: Workplace discrimination is illegal.

NYU Langone Health provides a salary range to comply with the New York state Law on Salary Transparency in Job Advertisements. The salary range for the role is $61,288.35 - $84,661.01 Annually. Actual salaries depend on a variety of factors, including experience, specialty, education, and hospital need. The salary range or contractual rate listed does not include bonuses/incentive, differential pay or other forms of compensation or benefits.

To view the Pay Transparency Notice, please click here

Required Skills

Required Experience