4 дня назад
Specialist Charge Revenue Integrity (Surgery Coding) - Remote
25 - 37$
Мэтч & Сопровод
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Описание вакансии
Текст:
TL;DR
Specialist Charge Revenue Integrity (Surgery Coding) - Remote (Healthcare Revenue Integrity/Coding): Reviewing clinical documentation and validating CPT, ICD-10, HCPCS, and charge capture for surgical and specialty services with an accent on coding accuracy, billing compliance, and revenue optimization. Focus on resolving pre-bill edits, validating complex charges and modifiers, analyzing denial and charge data, and educating clinical departments on complete documentation.
Location: Remote role associated with Livonia and Ann Arbor, Michigan; Columbus, Ohio; and Farmington Hills, Michigan, United States
Salary: $25.0209–$37.5313 per hour
Company
is a healthcare organization providing person-centered care through clinical and support services.
What you will do
- Research, analyze, and distribute operational and performance reports.
- Review charts, nursing notes, physician orders, progress notes, and surgical documentation to validate charges.
- Perform charge capture, charge entry, approvals, quality reviews, and reconciliation for surgical and specialty services.
- Assign and validate CPT and ICD-10 codes, revenue codes, modifiers, and related billing documentation.
- Resolve pre-bill edits, including OCE, CCI, and DNFB, and review claim denials.
- Educate clinical and ancillary departments on accurate documentation, supply charges, and revenue integrity.
Requirements
- Associate’s degree in healthcare, business administration, finance, accounting, or a related field, or equivalent experience.
- At least three years of relevant coding and charge control experience in a hospital or physician practice environment.
- Required coding credential such as RHIA, RHIT, CCS, CPC, COC, AAPC, or another recognized coding certification.
- Demonstrated knowledge of clinical coding, CPT, ICD-10, revenue codes, modifiers, charge master maintenance, billing, and audits.
- Working knowledge of payer rules, electronic charge documentation systems, charge reconciliation, error management, and revenue cycle operations.
Nice to have
- CDC healthcare compliance certification.
- CHRI certification or membership.
- Knowledge of APC, OPPS, OCE, CCI, and DNFB reimbursement and pre-bill processes.
Culture & Benefits
- Full-time remote work with a day-shift schedule.
- Work guided by ’s mission, values, code of conduct, and compliance standards.
- Equal opportunity employment and a commitment to respectful, person-centered care.
- Work may involve occasional exposure to clinical environments, hazards, infectious materials, and variable conditions.
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