Revenue Integrity Coding Billing Specialist (remote)

Guidehouse

Base: $56,000.00-$94,000.00; bonus/equity: not spe...
Fully remote
Resolve pre-bill edits and hold codes
Review clinical documentation for coding
Ensure compliance with payer guidelines
Guidehouse is seeking a fully remote Revenue Integrity Coding Billing Specialist to provide support in the revenue cycle by resolving Medicare and third-party payer claims. The ideal candidate will have over five years of experience in revenue integrity, along with relevant coding certifications and a strong understanding of medical billing practices

Job Summary

  • Responsible for the daily resolution of assigned claims with applicable Revenue Integrity pre-bill edits and/or specific Revenue Integrity Hold Codes in the hospital billing scrubber.
  • Ensures coding and billing practices are in compliance with Federal/State guidelines by utilizing various types of authoritative information.
  • Guidehouse offers a comprehensive, total rewards package that includes competitive compensation and a flexible benefits package that reflects our commitment to creating a diverse and supportive workplace.

Matching Summary

Match Score: 85

Guidehouse is seeking a fully remote Revenue Integrity Coding Billing Specialist to provide support in the revenue cycle by resolving Medicare and third-party payer claims. The ideal candidate will have over five years of experience in revenue integrity, along with relevant coding certifications and a strong understanding of medical billing practices.

Salary

Base: $56,000.00-$94,000.00; Bonus/Equity: Not specified; Benefits: Medical, Rx, Dental & Vision Insurance, Personal and Family Sick Time & Company Paid Holidays, Position may be eligible for a discretionary variable incentive bonus, Parental Leave, 401(k) Retirement Plan, Basic Life & Supplemental Life, Health Savings Account, Dental/Vision & Dependent Care Flexible Spending Accounts, Short-Term & Long-Term Disability, Tuition Reimbursement, Personal Development & Learning Opportunities, Skills Development & Certifications, Employee Referral Program, Corporate Sponsored Events & Community Outreach, Emergency Back-Up Childcare Program

Skills & Requirements

Must-have

  • Resolve pre-bill edits and hold codes
  • Review clinical documentation for coding
  • Ensure compliance with payer guidelines
  • Maintain knowledge of billing compliance

Nice-to-have

  • Strong communication and interpersonal skills
  • Ability to produce accurate work

Key Requirements

  • 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
  • Expertise in determining medical necessity
  • Knowledge of Medicare, Medicaid, and third-party payer UB-04 billing
  • Proficiency in determining accurate medical codes

Work Rights

Not specified

Tailored Resume

Cover Letter