Revenue Integrity Specialist

2 weeks ago

Portsmouth, New Hampshire, United States ConvenientMD Full time
Job Title: Revenue Integrity Coder

About the Role:

We are seeking a skilled Revenue Integrity Coder to join our team at ConvenientMD. As a Revenue Integrity Coder, you will play a critical role in ensuring the accuracy of coding and billing for our organization.

Key Responsibilities:

  • Accurately assign ICD-10-CM, CPT, and HCPCS codes for billing based on medical records.
  • Conduct detailed audits of coded data to ensure accuracy and completeness.
  • Collaborate with physicians, nurses, and other healthcare professionals to clarify documentation and ensure compliant coding.
  • Identify and implement improvements in coding processes to enhance revenue integrity and reduce compliance risks.
  • Stay updated with coding guidelines, reimbursement regulations, and industry trends to ensure compliance.
  • Participate in training sessions to maintain and enhance coding skills.
  • Provide coding expertise for revenue cycle management initiatives and assist with coding-related inquiries from stakeholders and regulatory agencies.

Requirements:

  • Certifications: Certified Coding Specialist (CCS) or Certified Professional Coder (CPC).
  • Experience: Minimum of 3 years in medical coding.
  • Knowledge: Strong understanding of ICD-10-CM, CPT, and HCPCS coding systems, healthcare reimbursement methods, and compliance regulations (e.g., CMS guidelines, HIPAA).
  • Skills: Excellent analytical and problem-solving skills, attention to detail, effective communication skills, and proficiency with coding software and electronic health records (EHR) systems.
  • Education: Bachelor's degree in Health Information Management, Healthcare Administration, or a related field.
  • Experience: Experience with revenue cycle management and prior roles in revenue integrity or compliance.

Why ConvenientMD?

  • Collaborative team environment that encourages professional growth
  • Urgent care services at no cost to our team members and their families
  • Extensive benefit offerings including health, dental, and vision coverage, company paid short-term disability, and optional pet insurance
  • 401k match after one year of service
  • Access to our Primary Care (depending on location)
  • Educational Alliance with Purdue University Global and reduced tuition rates for team members and their families
  • Employer rewards and access to discounts offered on services and products such as hotels, travel, entertainment, restaurants, and more

We are committed to creating a workplace where you can learn, grow, and continuously refine your skills. We believe in the importance of diversity, equity, and inclusion, and we strive to create a culture that values and respects all individuals. If you are passionate about healthcare and committed to excellence, we encourage you to apply for this exciting opportunity.

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