About the Role
This role focuses on maintaining the accuracy and compliance of medical coding and billing processes to safeguard revenue integrity. The specialist reviews claims, resolves coding inconsistencies, and supports financial performance by ensuring adherence to regulatory standards.
Responsibilities
- Verify accuracy of medical coding on submitted claims
- Identify discrepancies in billing data across healthcare records
- Conduct audits of coding practices to ensure regulatory compliance
- Collaborate with billing teams to resolve claim denials
- Analyze documentation for proper code assignment
- Support revenue cycle integrity through detailed record reviews
- Report findings related to coding inaccuracies to supervisors
- Maintain up-to-date knowledge of coding guidelines and regulations
- Assist in training team members on coding best practices
- Respond to inquiries from internal stakeholders regarding billing issues
- Ensure proper documentation supports billed services
- Participate in process improvement initiatives for billing workflows
- Track and monitor key performance metrics for coding accuracy
- Communicate with healthcare providers to clarify documentation
- Prepare summaries of coding trends and error patterns
- Work within electronic health record and billing systems
- Follow established protocols for handling sensitive patient data
- Escalate complex cases to senior staff when necessary
- Support internal audits and compliance reviews
- Maintain consistent productivity and quality standards
Compensation
Competitive hourly rate or salary based on experience
Work Arrangement
Remote position with flexible scheduling options
Team
Part of a dedicated revenue integrity and billing operations team
Why Join Us
- Opportunity to work in a fully remote capacity with a supportive team environment
- Exposure to diverse healthcare billing systems and coding challenges
- Commitment to professional growth and continuous learning
- Collaborative culture focused on accuracy and integrity
- Stable work schedule with predictable hours
Technology Used
- Electronic health record platforms
- Coding audit software tools
- Microsoft Office Suite, particularly Excel
- Secure remote access systems
- Billing and claims management applications
Not available for this position
