Role Overview:
Design and evaluate structured healthcare revenue cycle workflows across eligibility, coding, and denials management. Engage in precision-driven work requiring consistent, rule-based decision-making.
Key Responsibilities:
- Develop scenarios covering eligibility checks, prior authorization, and charge entry
- Build coding workflows using ICD-10, CPT, and HCPCS with rule-based accuracy
- Evaluate denial cases and appeals against payer policies and defined outcomes
- Create deterministic rubrics with clear, verifiable results
- Review artifacts including coded encounters, claims, and payer correspondence
Core Requirements:
- Strong expertise in medical billing, coding, or revenue cycle operations
- Working knowledge of coding standards, payer policies, and claims workflows
- Ability to interpret and produce revenue cycle documentation with precision
- High attention to detail with consistent rule-based judgment
- Clear, structured written communication with step-by-step reasoning
Additional Strengths:
- Professional certification or equivalent domain expertise
- Experience with EHR billing systems or claims processing platforms
- Ability to manage complex, multi-step revenue cycle scenarios with sustained focus
Note: Compensation is $45-$65 per hour for approximately 20 hours per week. This is a remote part-time contract position.
Requirements & Qualifications
- Expertise in medical billing, coding, or revenue cycle operations
- Knowledge of ICD-10, CPT, HCPCS coding standards
- Familiarity with payer policies and claims workflows
- Strong attention to detail and rule-based decision making
- Professional certification preferred
- Experience with EHR and claims processing platforms
Location
N/A
Employment Type
Part-time
Experience Level
Senior
Remote work allowed
Yes
Posted
4 weeks ago
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