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Specialist Charge Revenue Integrity (Cardiology)

22 - 33$
Формат работы
remote (только USA)
Тип работы
fulltime
Грейд
middle
Английский
b2
Страна
US
Вакансия из списка Hirify.GlobalВакансия из Hirify Global, списка международных tech-компаний
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Описание вакансии

Текст:
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TL;DR
Specialist Charge Revenue Integrity (Cardiology) (Medical Coding and Revenue Cycle): Reviewing clinical documentation and validating cardiology charges, CPT/HCPCS codes, modifiers, and billing data with an accent on charge capture, coding accuracy, and revenue integrity. Focus on resolving pre-bill edits, analyzing charge and operational data, educating clinical departments, and supporting compliance with AMA and Medicare coding guidelines.

Location: Remote position associated with Livonia, Michigan; Ann Arbor, Michigan; and Columbus, Ohio, United States

Salary: $21.9481–$32.9222

Company

hirify.global provides healthcare services and operates clinical and support functions focused on patient care and organizational performance.

What you will do

  • Research, collect, analyze, and distribute operational and performance reports.
  • Review patient charts and clinical documentation to validate charges, dates of service, encounters, and required modifiers.
  • Perform CPT and ICD-10 coding, charge entry, charge approvals, quality reviews, and claim denial review.
  • Resolve pre-bill edits, including OCE, CCI, and DNFB, while supporting charge reconciliation and error management.
  • Provide at-the-elbow support and education to clinical and ancillary departments on documentation, coding, and charge capture.
  • Prepare analytical summaries, graphical trend reports, and recommendations to support leadership decisions.

Requirements

  • Associate’s degree in healthcare, business administration, finance, accounting, or a related field, or equivalent experience.
  • Required coding credential such as RHIA, RHIT, CCS, CPC/COC, AAPC, or another recognized coding certification.
  • At least three years of relevant coding and charge-control experience in a hospital or physician-practice environment.
  • Knowledge of CPT, ICD-10, revenue codes, modifiers, charge master maintenance, audits, clinical billing, and revenue-cycle operations.
  • Working knowledge of third-party payer rules, charge documentation systems, electronic interfaces, and billing processes.
  • Remote work is associated with locations in Michigan and Ohio, United States.

Nice to have

  • CDC healthcare compliance certification.
  • CHRI certification or membership.
  • Knowledge of APC, OPPS, OCE/CCI pre-bill edits, DNFB, and clinical documentation improvement.

Culture & Benefits

  • Full-time day-shift employment.
  • Work aligned with hirify.global’s mission, values, compliance program, and code of conduct.
  • Equal opportunity employment with a focus on dignity, inclusion, and person-centered care.
  • Work may involve exposure to clinical environments, hazards, interruptions, and shifting priorities.

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