Professional Billing Coding Reimbursement Specialist
3 weeks ago
- The Professional Billing Coding Reimbursement Specialist provides the coding staff with the necessary support for coding guidelines through continuous quality improvement.
- This position proactively identifies areas of opportunity to improve coding quality, based on external audit findings, denials, and other platforms and plan coder education accordingly.
- This position demonstrates attention to detail, minimizing coding errors, legitimately optimizes reimbursement and ensures accurate billing.
- The PB Coding Reimbursement Specialist is responsible for reviewing and appealing all coding related denials.
- This position is responsible for acting as a liaison for denial communication between coding and billing teams.
- The PB Coding Reimbursement Specialist assists with communicating documentation issues to physicians and clinical departments.
- This position accurately applies ICD 10 CM, CPT, HCPCS codes and modifiers utilizing appropriate resources and participates on the denials team.
- This position supports the coding production team as needed.
- The hourly range for this position is between $24.80 and $37.20, annualized to $51,584 and $77,376. Individual compensation is determined for this position through years of directly relevant experience. The hourly compensation is only a portion of the total rewards package and a comprehensive benefits program is available for qualifying positions.
- This full-time position will require you to work flexible shifts, 40 hours a week, Monday through Friday.
- The position is 100% remote.
What is required for this position:
Education and/or Experience
- A minimum of 5 years of professional coding experience required
- 7 years of coding, auditing and/or denials management preferred
- Bachelor's degree in Health Information Management or other healthcare related degree preferred
- Strong Epic background preferred
- A score of 90% or higher on the Coding Assessment Tool is required for external candidates
Certifications, Licenses, Registrations
- One of the following is required:
- Certified Coding Specialist (CCS)
- Certified Professional Coder (CPC)
- Registered Health Information Administrator (RHIA)
- Registered Health Information Technician (RHIT)
- Certified Professional Medical Auditor (CPMA), Certified Documentation Improvement Practitioner (CDIP), or Certified Clinical Documentation Integrity Specialist (CCDS) certification preferred
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Columbus, United States Columbus Regional Hospital Full timeWhat you need to know about the position: + The Professional Billing Coding Reimbursement Specialist provides the coding staff with the necessary support for coding guidelines through continuous quality improvement. + This position proactively identifies areas of opportunity to improve coding quality, based on external audit findings, denials, and...
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Columbus, United States Columbus Regional Health Full timeWhat you need to know about the position:The Professional Billing Coding Reimbursement Specialist provides the coding staff with the necessary support for coding guidelines through continuous quality improvement.This position proactively identifies areas of opportunity to improve coding quality, based on external audit findings, denials, and other platforms...
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