Revenue Integrity Coding Specialist

Job Summary

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

Key Responsibilities

• Resolve assigned claims with Revenue Integrity pre-bill edits and specific hold codes
• Review clinical documentation to validate and apply ICD-10, CPT, and HCPCS codes
• Ensure compliance with Federal/State guidelines and maintain knowledge of billing compliance requirements

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 requirements