Revenue Integrity Coding Specialist

Job Summary

A company is looking for a Revenue Integrity Coding Billing Specialist.

Key Responsibilities

• Resolve assigned Medicare and third-party payer claims with pre-bill edits and denials
• Review clinical documentation to validate and apply appropriate coding
• Ensure compliance with Federal/State billing guidelines and maintain knowledge of relevant regulations

Required Qualifications

• High School Diploma or equivalent
• 5+ years of Revenue Integrity experience
• AAPC or AHIMA coding certification
• Experience in ICD-10, CPT, and HCPCS Level II Coding
• Knowledge of Medicare, Medicaid, and third-party payer billing compliance requirements