Revenue Integrity Coordinator

Job Summary

A company is looking for a Revenue Integrity Coordinator 2.

Key Responsibilities

• Support hospital claims processing and ensure compliance with regulatory guidelines
• Review, analyze, and resolve hospital claim edits to facilitate accurate billing
• Provide feedback and education on charge code selection to relevant departments

Required Qualifications

• High School diploma or GED
• 0-2 years of relevant experience preferred
• Familiarity with medical claims processing and coding (CPT, ICD10, HCPCS)
• Understanding of medical necessity guidelines (LCDs/NCDs)
• Experience in handling rejected claims and resubmission processes