Performs retrospective outpatient coding and billing reviews in coordination with internal staff to help capture full, fair, and accurate reimbursement for hospital clients.
Supports internal and external customers by providing timely responses to coding and billing questions, reviewing outpatient hospital claims, and giving correction recommendations with supporting rationale based on coding, billing, and payer-specific guidelines.
Works remotely from home and collaborates with teams while staying current on industry and payer guideline changes.
Requirements & Qualifications
Qualifications
- AAPC or AHIMA coding certification required, such as CPC, COC, CIC, CCS-P, or CCS
- 1+ years of hospital coding or auditing experience
- Understanding of managed care, Medicare, and Medicaid billing and reimbursement guidelines
- Understanding of inpatient and outpatient hospital reimbursement methodologies
- Strong mathematical skills for applying claim payment methodology concepts
- Ability to read and interpret claims, policies, procedures, and related documents
- Ability to communicate complex ideas clearly
- Ability to define problems, collect data, establish facts, and draw valid conclusions
- Strong teamwork and adaptability to changing priorities
- High school diploma or equivalent required
- Working knowledge of Microsoft Office, including Word and Excel
- Strong computer navigation skills and ability to use multiple software programs simultaneously
- Must reside in the United States in one of the eligible states listed in the posting
Benefits & Perks
Benefits and Perks
- Paid training and incentive plans
- Medical, dental, vision, and life insurance available from day one
- Excellent work/life balance
- Employee Resource Groups that build community and inclusion
- 401(k) matching
- Career growth opportunities
- 12 paid holidays
- Generous paid time off
- Remote work from home
Location
N/A
Employment Type
Full-time
Experience Level
Associate
Remote work allowed
Yes
Posted
3 weeks ago