Responsible for performing in-depth analysis of patient clinical and billing data to identify documentation, coding, and denial prevention opportunities. Develops and implements action plans based on root cause analysis findings to support denial prevention. Promotes revenue cycle operational efficiency, data integrity, and compliance with billing and regulatory guidelines.
Works on complex denial coordination with intra-team members to identify root causes. Performs audits and collaborates with internal and cross-functional teams on compliance, education, charge capture accuracy, and revenue cycle process improvement. Works closely with clinical areas to ensure services are documented accurately and to support the relationship between documentation, medical necessity, coding, and charging for all services provided. Completes assigned reports in a timely and accurate manner. May be required to travel between locations within the region.
Location: 100% remote. Full-time, 40 hours per week, with a flexible schedule.
Bachelor's degree in Healthcare, Business Administration, Finance, Accounting, Nursing, or a related field, or an equivalent combination of education and experience.
At least 5 years of experience in billing, charge documentation, charge audit, charge capture activities, or other revenue cycle-related functions.
Demonstrated knowledge of clinical processes, charge master maintenance, clinical coding including CPT, ICD-10, revenue codes, and modifiers, charging processes, audits, and clinical billing.
Knowledge of physician practice coding required.
Tuition reimbursement for full-time and part-time colleagues starting on the first day of employment.
100% paid tuition for ASN to BSN program.
Benefits available on day one, including medical, dental, vision, PTO, life, STD/LTD, and more.
Retirement savings account with employer match.
Generous paid time off program plus 7 paid holidays.
No mandatory overtime.
Employee referral incentive program.
State-of-the-art equipment, unlimited CEUs, and a supportive team approach.
Daily Pay available.
Location
Indiana, US
Employment Type
Full-time
Experience Level
Senior
Remote work allowed
Yes
Posted
2 weeks ago