Revenue Cycle and Coding Specialist
New
C
Central HealthHealthcare Revenue Cycle
Individuals in this position may work at an approved off-site location; however, they may be required to occasionally visit an on-site location in Austin, Texas. To be considered for this position, you must reside in one of the following states: Texas, Connecticut, Michigan, Ohio, North Carolina, Georgia, Florida, or Arizona.Full-TimeMiddle
Salary not disclosed
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Job Details
- Experience
- 4 years of experience in medical coding, medical auditing, or billing, in multi-specialty outpatient/professional billing setting
- Required Skills
- Microsoft OfficeCompliance
Requirements
- High School Diploma or equivalent.
- 4 years of experience in medical coding, medical auditing, or billing in a multi-specialty outpatient or professional billing setting.
- Current Certified Coding Specialist (CCS) through AHIMA, OR Certified Coding Specialist – Physician (CCS-P) through AHIMA, OR Certified Professional Coder (CPC) through AAPC.
- Demonstrated knowledge of revenue cycle, billing, and collection processes.
- Proficiency in Epic or other medical billing software.
- In-depth knowledge of ICD-10, CPT, and HCPCS coding.
- Familiarity with Medicare, Medicaid, and third-party payer guidelines.
- Ability to interpret policies, procedures, and regulations regarding billing and coding.
- Strong attention to detail and accuracy.
- Proficiency in Microsoft Office Suite and practice management systems.
- Must reside in Texas, Connecticut, Michigan, Ohio, North Carolina, Georgia, Florida, or Arizona.
Responsibilities
- Ensure accurate and timely billing and collection of medical claims.
- Conduct chart reviews on documentation and correct coding to ensure compliance with all governmental and contractual obligations.
- Train providers in proper documentation and coding in collaboration with the Supervisor and Compliance office.
- Perform charge review, claim edits, and ensure accurate CPT/ICD coding for clinical provider charges.
- Process all charges and clear coding edits generated by EMR/PM systems.
- Perform complex tasks relating to insurance verification, resolution of aging accounts, and customer service.
- Process insurance payments, reconcile deposits, post payments/recoupments, and manage patient accounts.
- Serve as an intermediary between healthcare providers, patients, health insurance companies, and other stakeholders.
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