Revenue Integrity Coding Billing Specialist (remote)

Job description

Job Family: General Coding Travel Required: None Clearance Required: None This position is fully remote: What You Will Do: Under the direction of the Director of Revenue Integrity, the Revenue Integrity Coding Billing Specialist provides revenue cycle support services through efficient review and timely resolution of assigned Medicare and third party payer accounts that are subject to pre-bill claim edits, hospital billing scrubber bill hold edits, and claim denials. This position is 100% remote . Daily duties for this position include: Responsible for the daily resolution of assigned claims with applicable Revenue Integrity pre-bill edits and/or specific Revenue Integrity Hold Codes in the hospital billing scrubber. Tasks associated with this work include resolving standard billing edits such as: Correct Coding Initiatives (CCI) Medically Unlikely Edits (MUE): Medical Necessity edits: Other claim level edits as assigned As needed, review clinical documentation and diagnostic results as appropriate to validate and apply applicable ICD-10, CPT, HCPCS codes and associated coding modifiers. Responsible for daily resolution of assigned claims with Revenue Integrity specific denials in...