Senior Financial Analyst, Enterprise CDM -Patient Financial Services-Corporate 42nd Street-Full-Time Days- Hybrid

Senior Financial Analyst, Enterprise CDM -Patient Financial Services-Corporate 42nd Street-Full-Time- Days- Hybrid

The Senior Financial Analyst, Enterprise Charge Description Master for the Mount Sinai Health System (MSHS) and the Icahn School of Medicine at Mount Sinai (ISMMS) (which includes the MSHS and the Faculty Practice Plan) combines advanced financial analysis with a strong professional healthcare revenue cycle background to ensure accurate and compliant charge capture and professional CDM compliance. The ideal candidate will possess advanced knowledge of professional charging, billing, physician fee schedules, Epic workflows and quality reporting measures. This position will report to the Director of the Enterprise CDM.

Responsibilities

• Build, maintain, and update the Professional Charge Description Master (CDM) with timely, and accurate revenue and CPT/HCPCS codes.
• Work with various stakeholders for example, HIM, billing, clinical, and IT departments to resolve billing issues, update systems, and align charging workflows.
• Support the implementation of new coding changes and ensure overall Professional CDM compliance.
• Builds new charges by reviewing, assigning, and validating appropriate codes.
• Supports the adherence to all Federal, State and Regulatory requirements and guidelines for the Professional Charge Description Master.
• Works with providers and clinical areas to ensure that the professional CDM accurately reflects the services provided.
• Analyzes physician service charges to ensure they align with payer regulations, Medicare/Medicaid reimbursement methodologies, and managed care contracts.
• Provides routine, standardized reporting to stakeholders as requested or needed.
• Supports the annual review of the professional charge description master which includes identifying codes which have been deleted, added or replaced; assigning specific codes when appropriate; identifying description changes; and ensuring the nomenclature reflects the procedures performed.
• Supports and facilitated the quarterly and annual Professional Charge Description Master updates.
• Develops and or maintains reports to identify various metrics as defined by leadership or needed for departmental monitoring.
• Utilize advanced analytics to monitor revenue cycle performance and identify trends related to denials, underpayments, and coding variances.
• Lead and participate in multidisciplinary revenue practice teams (RPTs) to address complex billing issues and drive improvements.
• Ensure adherence to coding guidelines and compliance regulations set by entities like the Centers for Medicare and Medicaid Services (CMS).
• Mitigate the risk of compliance violations, audits, and potential penalties related to billing errors.
• Resourceful in creating or fine-tuning the processes necessary to complete the work along with the ability to organize people and activities.
• Challenge existing norms or courses of action to facilitate fully informed decision-making. Help institute balanced decision-making by identifying risks and opportunities.
• Establish and maintain strong working relationships with revenue cycle leaders, key stakeholders, and foster a strong working relationship with key strategic partners.
• Create feedback loops and enhancement pipelines informed by stakeholders and data.
• Ensure compliance with all HIPAA privacy and security standards.
• Conform to the established policies/ procedures/ processes/ Standards of Behavior.
• Performs other duties as assigned

Qualifications

• Bachelor's degree in public health/administration, finance, business or a related field or equivalent education and experience.
• Six (6) plus years of progressively responsible experience working with the Professional Charge Description Master, preferably in an academic medical center.
• 5 plus years with Epic Experience, Epic certification desirable.
• Strong analytical skills and proficiency in Excel and related tools.
• Strong knowledge of quality payment programs.
• Demonstrated success in a large not-for-profit/academic health system professional or multi-entity revenue cycle environment.
• Proficiencies: Extensive knowledge of revenue cycle processes and professional charging/billing. Extensive knowledge of code data sets, Epic edits, and reimbursement.
• Capacity to review, analyze and interpret managed care contracts, billing guidelines, and state and federal regulations along with facilitating to all member entities.
• Ability to work with and interpret detailed medical record documents and communicate effectively with physicians, nursing staff, leadership and other billing personnel.
• Demonstrates ability to effectively manage multiple projects.
• Excellent interpersonal skills and experience working with senior management and other leaders, along with the ability to communicate concepts to others.
• Demonstrated ability to engage in positive, powerful persuasion with individuals or groups with diverse opinions and/ or agendas, leading to outcomes that meet identified goals.
• Excellent verbal and written communication and organizational abilities. Accuracy, attentiveness to detail and time management skills are required.
• Ability to interact effectively with multidisciplinary teams, including physicians and other clinical professionals internally and externally.
• The ability to maintain a high level of positive energy/creativity during periods of elevated work demands.
• Ability to prioritize multiple objectives in a rapidly changing environment and deliver quality outcomes.

Certification:

• Applicable professional certification through AHIMA (CCS, CCS-P) or AAPC (CPC), preferred.

Non-Bargaining Unit, 518 - PFS 633 Third Avenue - MSH, Mount Sinai Hospital

About Us

Strength through Unity and Inclusion

The Mount Sinai Health System is committed to fostering an environment where everyone can contribute to excellence. We share a common dedication to delivering outstanding patient care. When you join us, you become part of Mount Sinai's unparalleled legacy of achievement, education, and innovation as we work together to transform healthcare. We encourage all team members to actively participate in creating a culture that ensures fair access to opportunities, promotes inclusive practices, and supports the success of every individual.

At Mount Sinai, our leaders are committed to fostering a workplace where all employees feel valued, respected, and empowered to grow. We strive to create an environment where collaboration, fairness, and continuous learning drive positive change, improving the well-being of our staff, patients, and organization. Our leaders are expected to challenge outdated practices, promote a culture of respect, and work toward meaningful improvements that enhance patient care and workplace experiences. We are dedicated to building a supportive and welcoming environment where everyone has the opportunity to thrive and advance professionally. Explore this opportunity and be part of the next chapter in our history.

About the Mount Sinai Health System:

Mount Sinai Health System is one of the largest academic medical systems in the New York metro area, with more than 48,000 employees working across eight hospitals, more than 400 outpatient practices, more than 300 labs, a school of nursing, and a leading school of medicine and graduate education. Mount Sinai advances health for all people, everywhere, by taking on the most complex health care challenges of our time discovering and applying new scientific learning and knowledge; developing safer, more effective treatments; educating the next generation of medical leaders and innovators; and supporting local communities by delivering high-quality care to all who need it. Through the integration of its hospitals, labs, and schools, Mount Sinai offers comprehensive health care solutions from birth through geriatrics, leveraging innovative approaches such as artificial intelligence and informatics while keeping patients' medical and emotional needs at the center of all treatment. The Health System includes more than 9,000 primary and specialty care physicians; 13 joint-venture outpatient surgery centers throughout the five boroughs of New York City, Westchester, Long Island, and Florida; and more than 30 affiliated community health centers. We are consistently ranked by U.S. News & World Report's Best Hospitals, receiving high "Honor Roll" status, and are highly ranked: No. 1 in Geriatrics, top 5 in Cardiology/Heart Surgery, and top 20 in Diabetes/Endocrinology, Gastroenterology/GI Surgery, Neurology/Neurosurgery, Orthopedics, Pulmonology/Lung Surgery, Rehabilitation, and Urology. New York Eye and Ear Infirmary of Mount Sinai is ranked No. 12 in Ophthalmology. U.S. News & World Report's "Best Children's Hospitals" ranks Mount Sinai Kravis Children's Hospital among the country's best in several pediatric specialties. The Icahn School of Medicine at Mount Sinai is ranked No. 11 nationwide in National Institutes of Health funding and in the 99th percentile in research dollars per investigator according to the Association of American Medical Colleges. Newsweek's "The World's Best Smart Hospitals" ranks The Mount Sinai Hospital as No. 1 in New York and in the top five globally, and Mount Sinai Morningside in the top 20 globally.

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The Mount Sinai Health System is an equal opportunity employer, complying with all applicable federal civil rights laws. We do not discriminate, exclude, or treat individuals differently based on race, color, national origin, age, religion, disability, sex,