Job Summary
A Catholic non-profit healthcare system has a current position open for a Remote Coding Payment Resolution Specialist.
Core Responsibilities of this position include:
- Review all post-billed denials for coding accuracy and appealing them based upon coding expertise
- Serve as part of a coding payment resolution team responsible for determining root causes of denials
- Track appeals through first, second, and subsequent levels and ensure timely filing of appeals
Applicants must meet the following qualifications:
- High school diploma or Associate degree in Accounting or Business Administration or related field
- 4 years' experience within a hospital or clinic environment, a health insurance company, or similar
- Must possess comprehensive knowledge of professional/physician diagnostic and procedural coding
- Must be a RHIA, RHIT, or CCS, or CPC
- Experience with NCCI, NCD, LCD, and Outpatient coding guidelines
