Overview

M-F, 40 hrs per week, daytime, Remote. Out of state allowed

This position exists to provide accurate and timely clinical data for billing and optimal reimbursement, quality assessment, comparative databases, physician profiling, and administrative purposes. This position is responsible for, but not limited to, reviewing and resolving pre-bill coding related edits as well as coding related and non-covered service claim denials. Utilizing coding guidelines, payer portals and policies for optimal reimbursement. Processing charge corrections, write offs and patient balance transfers. Meeting established productivity and quality goals.

Context and purpose of role

* Position will help address the high volume of denials that are needed to be worked

Must Haves

* AAPC or AHIMA coding certification and membership

Other Requirements
* Requires High School Diploma or equivalent. RHIA, RHIT, CCS, CCS-P, COC, or CPC credential required. Acceptable credentials or experience may vary depending on type of role (physician coding, facility coding, pre-bill coding edits). Requires ability to read, understand and interpret medical records and other treatment documentation.
* Requires a high level of interpersonal, problem solving, and analytic skills.
* Requires the ability to establish and maintain collaborative working relationships with others.
* Requires effective written and verbal communication skills.
* Requires strong attention to detail, problem solving and critical thinking skills.
* Requires ability to work with and maintain confidential information.