Position Summary

At Stony Brook Medicine, our Revenue Cycle Manager for the Radiation Oncology department is a valuable member of our team, who oversees the processes to provide efficient billing and revenue management for the department.  The Revenue Cycle Manager will report to the Administrative Director and assist with various financial projects within the department. 

Duties of a Revenue Cycle Manager for Radiation Oncology may include the following but are not limited to:

• Responsible for revenue collection activities.
• Ensure that all patients receiving hospital services are pre-certified to receive these services and/or a referral is obtained.
• Utilizing ICD-10 CM and CPT coding guidelines; review diagnoses and procedures codes ensuring correct charges are sent to hospital and practice billing systems.
• Familiarity with the NCCI Policy Manual and CCI edit bundling rules.
• Ability to research and understand Medicare LCD/NCD's and commercial payer coverage policies ensuring Medical Necessity for Medicare Patients.
• Develop a system to resolve denials for services with the Patient Accounts staff.
• Develop method to track denials and resolve systemic problems.
• Responsible for improved medical record documentation through the Service Lines.
• Facilitate communication between administration, billing staff, clinicians, and financial staff to enhance billing and collection and to ensure proper coding for billing purposes.
• Ensure correct coding and documentation on all procedures related to Radiation Oncology E&M and procedures. 
• Performs analysis of charge edits and charge reconciliation. Responsible for both hospital and physician charge capture.
• Responsible for supervising and training/education in coding and billing for the insurance authorization staff.
• Must keep current with CMS and other third party carriers referring to Radiation Oncology.
• Review contracts with the manage care departments for hospital and physician charges.
• Assist Administrative Director in revenue tracking for Radiation Oncology.
• Provide statistical reporting on all financial aspects of Radiation Oncology (assist in preparing financial reports, projections, and financial analysis)
• Assist the clinical trial office with planning, billing and other aspects related to Rad Onc clinical trials.
• Other miscellaneous financial responsibilities as required by the Department Administrator for Radiation Oncology.