Professional Billing Compliance Coordinator - Core Admin

Professional Billing Compliance Coordinator

The Professional Billing Compliance Coordinator for the Department of Medicine at CUIMC is responsible for the direct oversight of all billing compliance activities within the department. The coordinator supports and ensures the accuracy and integrity of all coding and documentation practices across multiple divisions. The Coordinator ensures the implementation and application of Columbia University compliance policies, guidelines, and regulations, as well as federal and state requirements.

The position reports jointly to the Department of Medicine and the Office for Billing Compliance (OFBC), and works closely with faculty, practice managers, revenue cycle directors, the Clinical Revenue Office (CRO), and the OFBC to identify and resolve documentation, coding, and billing issues. A key responsibility includes conducting regular audits of departmentally submitted services, following a rolling yearly schedule within the compliance audit system. The Coordinator also plays a central role in audit preparation, results review, training, and identifying quality and improvement opportunities across the department.

Responsibilities :

• Implement Columbia University compliance guidelines, regulations, policies, and recommendations across all divisions within the Department of Medicine.
• Direct the application of The University's and The Department's compliance plans. Revise the departmental compliance plan annually and in partnership with the OFBC.
• In conjunction with the OFBC, develop department specific compliance educational programs focused on the department's documentation, coding, and billing processes across all specialties.
• Perform provider audits scheduled throughout the year for all providers.
• Prepare and disseminate compliance information to all departmental staff and faculty.
• Provide general oversight of all billing activities, as they relate to compliance within the department.
• Develop methodology, implement, and monitor research-related billing activities within the department.
• Assist with other assignments and related responsibilities as needed.

Minimum Qualifications :

Preferred Qualifications :

Other Requirements :

Equal Opportunity Employer / Disability / Veteran Columbia University is committed to the hiring of qualified local residents.