Revenue Cycle Specialist
4 weeks ago
We are seeking a skilled Revenue Cycle Specialist - Revenue Integrity to join our team at Weill Cornell Medicine. As a key member of our Central Business Office, you will play a critical role in investigating and resolving coding-related insurance payment denials.
Key Responsibilities
• Perform retrospective coding and documentation review of denied charges for physician services
• Analyze invalid denial trends, payer-specific carrier submission requirements, and system optimization
• Perform extensive follow-up to investigate and resolve payment denial trends
• Resolve outstanding accounts utilizing ancillary applications and websites as tools to retrieve medical documentation, claim status, and billing guidelines to substantiate corrected claim submissions, written appeals, coding, and medical necessity reviews
Requirements
• Certification as a Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) is required
• Approximately 3-5 years of physician billing experience, specifically accounts receivable and collection experience
• Prior experience working with an eMR system
• Knowledge of medical terminology, third-party reimbursement, and Microsoft Excel and other reporting software to sort, filter, summarize, and identify various account receivable trends
Working Conditions
This is a remote-based position with rare onsite requirements. A dedicated workspace conducive to a healthy work environment is expected. Weill Cornell Medicine is an Equal Employment Opportunity Employer and provides equal employment opportunities to all qualified applicants without regard to protected status, including race, sex, sexual orientation, gender identity, national origin, color, age, religion, protected veteran or disability status, or genetic information.
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