Reimbursement Specialist - Corporate Reimbursement/coding - Full Time
Guthrie
Sayre, PA, United States
Hybrid
Cpt, icd-10-cm, hcpcs coding
Medicare, medicaid, third-party payer regulations
Epic, word, excel proficiency
Provide a high level of technical competency and serves as a subject matter expert regarding documentation guidelines, coding, and reimbursement
Job Summary
Provide a high level of technical competency and serves as a subject matter expert regarding documentation guidelines, coding, and reimbursement.
Responsible for education of providers, residents, and staff to ensure compliance with billing guidelines and proper documentation.
Perform clinical and coding reimbursement assessments to ensure revenue capture and make recommendations to appropriate providers, staff, and leadership partners.
Matching Summary
Provide a high level of technical competency and serves as a subject matter expert regarding documentation guidelines, coding, and reimbursement.
Skills & Requirements
Must-have
CPT, ICD-10-CM, HCPCS coding
Medicare, Medicaid, third-party payer regulations
Epic, Word, Excel proficiency
Physician coding and reimbursement experience
Medical terminology, anatomy, physiology knowledge
Nice-to-have
Teamwork and collaboration
Promote revenue integrity processes
Patient accounting confidentiality
Key Requirements
High School Diploma or equivalency
Degree in Health Information Technology or RHIA, RHIT, CCS, or CPC certification