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Revenue Integrity Coding and Billing Specialist
Location
United States
Posted
84 days ago
Salary
$49K - $81K / year
Job Description
Job Requirements
- High School Diploma/GED (Relevant experience may be substituted for formal education)
- 3+ years of prior Revenue Integrity experience
- AAPC or AHIMA coding certification
- Experience in ICD-10, CPT and HCPCS Level II Coding
- Ability in determining medical necessity of services provided and charged based on provider/clinical documentation
- Knowledge, understanding and proper application of Medicare, Medicaid, and third-party payer UB-04 billing and reporting requirements including resolution of CCI, MUE and Medical Necessity edits applied to claims
- Ability in determining accurate medical codes for diagnoses, procedures and services performed in the outpatient setting
- Knowledge of current code bundling rules and regulations along with ability on issues of compliance, and reimbursement under outpatient grouping systems such as Medicare OPPS and Medicaid or Commercial Insurance EAPG’s
- Knowledge and understanding of hospital charge description master coding systems and structures
- Ability to produce correct, assigned work product within specified periods.
Benefits
- Medical, Rx, Dental & Vision Insurance
- Personal and Family Sick Time & Company Paid Holidays
- Position may be eligible for a discretionary variable incentive bonus
- Parental Leave
- 401(k) Retirement Plan
- Basic Life & Supplemental Life
- Health Savings Account, Dental/Vision & Dependent Care Flexible Spending Accounts
- Short-Term & Long-Term Disability
- Tuition Reimbursement, Personal Development & Learning Opportunities
- Skills Development & Certifications
- Employee Referral Program
- Corporate Sponsored Events & Community Outreach
- Emergency Back-Up Childcare Program
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