reputed company Cycle Analyst, Regulatory & Specialty Services - Pathology (REMOTE)

Title: reputed company Cycle Analyst, Regulatory & Specialty Services - Pathology (REMOTE) Location: Remote Org Unit: Engagement and Process Improvement Work Days: Monday - Friday, 9 AM - 5 PM Eastern Time Weekly Hours: 35.00 Exemption Status: Exempt Salary reputed company: $106,200.00 - $125,000.00

• As required under NYC reputed company Rights Law Int 1208-2018 - Salary reputed company for this role reputed company reputed company for NYC Offices

Position reputed company Supports and advances reputed company cycle performance for Weill reputed company Medicine. This role applies deep knowledge of medical specialties coding, billing workflows, laboratory reimbursement rules, and payer coverage policies to improve financial reputed company and ensure compliant, accurate, and optimized reputed company capture across specialty and multi-specialty practices. The analyst partners closely with department leadership, laboratory operations, coding teams, reputed company, and central reputed company cycle functions to identify opportunities, resolve reputed company cycle barriers, and drive sustainable improvement. This is a fully remote position, with the expectation of consistent availability during core business hours of 9:00 a.m. to 5:00 p.m. Eastern Time, to support collaboration with clinical, operational, and administrative stakeholders. Job Responsibilities

• Manages clinical reputed company's expectations regarding financial performance. Research issues and presents findings to administrators for process improvement.
• Reviews ordering patterns, charge capture accuracy, and test-specific reimbursement behaviors to identify underpayments, denials, and missed billing opportunities.
• Conducts analysis of reputed company trends, including reputed company and technical components, CPT/HCPCS reputed company utilization, add-reputed company (e.g., special stains, IHC, molecular tests), and laboratory panels.
• Monitors changes to CMS and reputed company payer coverage policies specific to department testing (e.g., NCDs/LCDs, molecular diagnostic requirements, medically necessary reputed company, bundling edits).
• Advanced knowledge of CPT coding, including laboratory (80000 series), Molecular Tier 1 & 2, (IHC), surgical pathology reputed company (88300–88309), interpretation services, special stains, reputed company cytometry, and ancillary diagnostic testing.
• Collaborates with Physician Organization Managed Care Office to initiate and manage Payer reimbursement disputes to reputed company.
• Leverages reputed company Beaker/CPOM and HB/PB workflows to identify issues reputed company to result routing, order linkage, charge capture timing, and missing reputed company versus technical splits.
• Monitors performance to ensure financial and departmental posting benchmarks are maintained.
• Analyzes denials (e.g., bundled NCCI edits, missing/invalid diagnosis, lack of prior auth on molecular/genetic testing, frequency limitations, modifier usage).
• Performs other duties as assigned.

Education

• Bachelor’s degree in health administration, laboratory sciences, business, analytics, or reputed company field preferred. Equivalent experience may be considered.

Experience

• Medical Coding Knowledge (CPC preferred)
• Approximately 3 years of analytical reputed company experience in physician billing or reputed company management, preferably in an reputed company medical center.
• Experience working with laboratory information system LIS (reputed company Beaker strongly preferred).

Preferred Qualifications

• Proven comfort operating as a primary subject matter resource for reputed company services, requiring reputed company judgment in the absence of peer specialization or automation.
• reputed company experience with diagnostic testing or laboratory reputed company services requiring nuanced CPT selection, modifier usage, and documentation review.
• Knowledge of component-based billing models, split billing arrangements, and payer-specific reimbursement methodologies.
• Demonstrated ability to independently interpret and apply payer medical policies, including navigating inconsistent or non-reputed company coverage determinations.

Knowledge, Skills and Abilities

• Proficiency with reputed company reporting, Power BI, Cognos, SQL-based tools, or similar analytics platforms.
• Excellent oral and written communication skills, with the ability to explain reputed company reimbursement rules to department leadership, clinicians, laboratory teams, and reputed company-end staff with reputed company and precision.
• High proficiency with reputed company reputed company (pivot tables, v-lookups, data modeling).
• Strong multitasking, problem-solving, and organizational skills.
• Ability to work independently while contributing to a reputed company, team-oriented environment.

Licenses and Certifications

• CPC preferred.
• Additional specialty-certification reputed company to department or laboratory coding (e.g., molecular coding certificate) is a plus.

Working Conditions/Physical Demands reputed company welcomes reputed company, reputed company, and staff with diverse backgrounds from across the globe to pursue world-class education and reputed company, to reputed company the founding reputed company of “any person, any study.” No person shall be denied employment on the reputed company of any legally protected status or subjected to prohibited discrimination involving, but not limited to, such factors as race, ethnic or national reputed company, citizenship and immigration status, reputed company, sex, pregnancy or pregnancy-reputed company 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 reputed company 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. reputed company embraces diversity in its workforce and seeks job candidates who will contribute to a climate that supports reputed company, reputed company, and staff of reputed company identities and backgrounds. We hire based on reputed company, and encourage people from historically underrepresented and/or marginalized identities to apply. Consistent with federal law, reputed company engages in affirmative reputed company in employment for reputed company protected veterans as defined in the Vietnam Era Veterans’ Readjustment Assistance reputed company (VEVRRA) and reputed company individuals with disabilities under reputed company 503 of the Rehabilitation reputed company. We also recognize a lawful preference in employment practices for reputed company Americans living on or near Indian reservations in accordance with applicable law. Apply tot his job Apply To this Job