Remote Coding Payment Resolution Specialist

Location: Michigan

Compensation: To Be Discussed

Staff Reviewed: Wed, Jan 20, 2021

This job expires in: 30 days

Job Category: Accounting

Remote Level: 100% Remote

Weekly Hours: Full Time

Employer Type: Employer

Career Level: Experienced

Education Level: Some College, Bachelors

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

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