Revenue Cycle Specialist (Medical Billing & Coding) in the Revenue Cycle / Business Office department. This full-time, on-site role supports accurate, compliant billing and smooth reimbursement workflows. The schedule is day shift, 8:00 AM to 5:00 PM.
The position focuses on reviewing patient accounts, assigning ICD-10 and, when applicable, CPT/HCPCS codes, submitting claims, following up on reimbursement, resolving denials and payment variances, and collaborating with providers and clinical staff. The role also supports revenue cycle improvement efforts by identifying trends and recommending process fixes.
Experience in pediatrics is a plus, but not required.
What You’ll Do
- Review and analyze patient accounts for accuracy, completeness, and compliance
- Assign appropriate ICD-10 and, when applicable, CPT/HCPCS codes based on documentation
- Prepare, submit, and follow up on claims for timely insurance reimbursement
- Identify billing errors, denials, and payment variances; research root causes and resolve issues
- Work denials, corrections, and re-bills while documenting actions taken
- Collaborate with providers and clinical staff to clarify documentation and billing details
- Maintain accurate records and follow established policies, payer rules, and regulatory requirements
- Support revenue cycle improvements by identifying trends and recommending fixes
What We’re Looking For
- Prior experience in medical coding, medical billing, and/or revenue cycle management
- Strong working knowledge of ICD-10 and medical terminology
- High attention to detail with strong analytical and problem-solving skills
- Ability to manage multiple tasks, meet deadlines, and work independently
- Professional communication skills with patients, payers, and clinical teams
- Experience with Epic Resolute and/or Epic Cadence is a plus
Preferred
- Experience billing for pediatrics or other specialty services
- Familiarity with payer portals, clearinghouses, appeals, and denial prevention strategies
- Understanding of claim lifecycle workflows
Benefits
- 401(k)
- Dental insurance
- Life insurance
- Paid time off
- Vision insurance
- Competitive pay and benefits based on experience
- Supportive environment with training and process improvement opportunities
Location
South Carolina, US
Employment Type
Full-time
Experience Level
Entry Level
Remote work allowed
No
Posted
2 weeks ago