Responsible for coding and billing for inpatient and outpatient claims, as well as CCM billing, within the revenue cycle.
This role manages the claims process from accurate and timely claim creation through follow-up, correspondence, and resolution of coding-related issues with providers, insurers, and patients.
The position also supports process improvement efforts to maximize revenue and requires an onsite presence at clinical locations.
Requirements & Qualifications
- Bachelor’s or associate degree in a healthcare-related field, or equivalent experience
- Certified Professional Coder (CPC) or at least 5 years of equivalent direct professional coding experience
- Strong knowledge of ICD-10, CPT/HCPCS, medical terminology, and billing processes
- Experience with medical billing/EHR systems, preferably Medent
- Knowledge of EOBs, EFTs, and ERAs
- Proficiency with Microsoft Office
- Strong leadership, organization, problem-solving, and communication skills
- Attention to detail and ability to work independently
- CPC, CRC, and CPCO certifications are preferred
- FQHC billing experience is a plus
Location
Pennsylvania, US
Employment Type
Full-time
Experience Level
Senior
Remote work allowed
No
Posted
4 months ago