Healthcare Revenue Cycle Specialist

2 months ago

Provo, Utah, United States Revere Health Full time
Job Overview

Salary: Competitive

At Revere Health, we prioritize the well-being of our patients above all else. As the foremost independent multi-specialty physician group in Utah, our healthcare system ensures patients receive exceptional communication, quality, coordination, and innovation. Established in 1960 in Provo, Utah, Revere Health has expanded to encompass 30 medical specialties across over 100 locations in Utah, Arizona, and Nevada.

As one of only two Accountable Care Organizations accredited by Medicare in Utah, Revere Health provides a distinctive, patient-centered approach to healthcare. Our commitment is to minimize medical costs while delivering the highest quality of care.

Position Objective:

The Medical Coder plays a crucial role in assisting Revere Health in achieving its organizational goals through accurate charge entry, patient visit reconciliation, and coding of patient accounts utilizing diagnosis codes and HCPCS. Once fully trained and performing successfully, the option to work remotely will be available.

Key Responsibilities:

  • Perform coding and auditing of charges prior to submission to insurance providers.
  • Actively contribute to the establishment and attainment of personal and departmental objectives.
  • Participate in departmental meetings, insurance provider relations meetings, and team discussions.
  • Strictly adhere to HIPAA regulations by maintaining confidentiality and accessing information solely as necessary for job functions.
  • Address pre/post coding denials, analyze, and complete scrubber edits.
  • Resolve any un-reconciled patient visits.
  • Stay updated on coding education and regulations to ensure precise coding practices.
  • Identify trends and root causes, proposing process modifications to mitigate recurring issues.
  • Perform additional duties as assigned.

Essential Qualifications:

  • High School Diploma or GED.
  • Strong critical thinking, problem-solving, and follow-through skills, with an ability to understand the broader context.
  • Intermediate proficiency in MS Office applications.
  • Capability to learn and navigate various complex computer programs.
  • Ability to collaborate effectively within a team as well as work independently.
  • Understanding of insurance policies and procedures.
  • Familiarity with coding terminology and applications, including CPT, ICD-9, ICD-10, modifiers, etc.
  • Commitment to pursuing AAPC or AHIMA Coding Certification within one year.
  • Residency in the state of Utah or Nevada is required.

Preferred Qualifications:

  • At least one year of experience in medical billing.

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