Revenue Cycle Compliance Expert

6 days ago


Dallas, Texas, United States CalpionPlutus Health Full time
Job Description:
We are seeking a Revenue Cycle Compliance Expert to join our team at Plutus Health Inc. This role will focus on ensuring compliance with healthcare regulations and industry standards for SUD services. The ideal candidate will have a strong understanding of SUD coding practices and a commitment to maintaining high-quality audit standards.

Responsibilities:
  • Conduct thorough audits of accounts receivable and coding practices specific to SUD services.
  • Review and analyze medical records to assess coding accuracy for SUD-related treatments and procedures.
  • Provide constructive feedback and guidance on SUD-specific coding standards and best practices.
  • Generate and present audit reports highlighting areas for improvement and trends in coding and billing practices.
  • Collaborate with revenue cycle management teams to address coding discrepancies and AR issues related to SUD services.

Requirements:
  • Bachelor's degree in healthcare, business administration, or a related field preferred.
  • Minimum 2-3 years of experience in healthcare coding, billing, or quality control analysis, with specific experience in SUD settings.
  • Strong knowledge of ICD-10, CPT, and HCPCS coding systems, particularly as they relate to SUD services.
  • Familiarity with AR processes and revenue cycle management specific to behavioral health.
  • Excellent analytical skills and meticulous attention to detail.
  • Strong communication and interpersonal skills, with the ability to collaborate effectively with diverse teams.

Salary Range:
  • $82,000 - $108,000 annual salary, depending on experience.
  • Comprehensive health benefits (medical, dental, vision).
  • Paid time off and flexible work arrangements.
  • Opportunities for professional development and career growth.


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