This position oversees the operations of denials, claim edits, and charge capture for reimbursement purposes
Job Summary
This position oversees the operations of denials, claim edits, and charge capture for reimbursement purposes.
This position develops and implements policies and procedures to achieve organizational goals; and assists in the development of operational strategy.
This job role requires advanced clinical documentation review to educate providers, nurses, department leads/senior management, finance teams, and other stakeholders.
Matching Summary
This position oversees the operations of denials, claim edits, and charge capture for reimbursement purposes.
Skills & Requirements
Must-have
outpatient medical coding
facility outpatient visits
coding audits
denials management
claim edits
charge capture
clinical documentation review
revenue cycle operations
Nice-to-have
special projects coordination
operational strategy development
staff engagement
collaboration with leaders
external vendor networking
Key Requirements
Bachelor’s degree in health information administration or equivalent
Minimum 3 years of medical coding and/or revenue management experience
Seven years of relevant industry experience in health system-wide outpatient medical coding, and revenue cycle operations preferred
Required certification: RHIT, RHIA, CCS, or COC
Considerable progressively responsible administrative medical information management experience
Knowledge and experience with electronic health records and health information management applications