Texas Licensed Charge Review Specialist

Job Summary

To support a centralized Revenue Cycle team, the full-time Texas Licensed Charge Review Specialist will process accurate code assignments for claims, ensure compliance with coding guidelines, and provide guidance to providers while working remotely.

Key Responsibilities

• Ensure timely and accurate processing of claims in accordance with company procedures and industry best practices
• Determine the correct sequence of ICD 10, CPT, and HCPCS codes under the direction of the Revenue Integrity Manager
• Analyze provider coding to ensure adherence to standards and provide guidance as needed

Required Qualifications

• High school diploma or GED
• 4 years of relevant healthcare revenue or medical billing cycle experience, including coding
• Certification as a Certified Coding Specialist (CCS), Certified Coding Specialist Physician (CCS P), Certified Professional Coder (CPC), or Certified Professional Coder Hospital (CPC H)
• Knowledge of ICD 10, CPT, HCPCS, and modifiers related to provider coding and billing assignments
• Experience with electronic claim filing and practice management software packages