What you need to know about the position:

• The Professional Billing Coding Reimbursement Specialist provides the coding staff with the necessary support for coding guidelines through continuous quality improvement.
• This position proactively identifies areas of opportunity to improve coding quality, based on external audit findings, denials, and other platforms and plan coder education accordingly.
• This position demonstrates attention to detail, minimizing coding errors, legitimately optimizes reimbursement and ensures accurate billing.
• The PB Coding Reimbursement Specialist is responsible for reviewing and appealing all coding related denials.
• This position is responsible for acting as a liaison for denial communication between coding and billing teams.
• The PB Coding Reimbursement Specialist assists with communicating documentation issues to physicians and clinical departments.
• This position accurately applies ICD 10 CM, CPT, HCPCS codes and modifiers utilizing appropriate resources and participates on the denials team.
• This position supports the coding production team as needed.
• The hourly range for this position is between $24.80 and $37.20, annualized to $51,584 and $77,376. Individual compensation is determined for this position through years of directly relevant experience. The hourly compensation is only a portion of the total rewards package and a comprehensive benefits program is available for qualifying positions.
• This full-time position will require you to work flexible shifts, 40 hours a week, Monday through Friday.
• The position is 100% remote.

What is required for this position:

Education and/or Experience

• A minimum of 5 years of professional coding experience required
• 7 years of coding, auditing and/or denials management preferred
• Bachelor's degree in Health Information Management or other healthcare related degree preferred
• Strong Epic background preferred
• A score of 90% or higher on the Coding Assessment Tool is required for external candidates

Certifications, Licenses, Registrations

• One of the following is required:
• Certified Coding Specialist (CCS)
• Certified Professional Coder (CPC)
• Registered Health Information Administrator (RHIA)
• Registered Health Information Technician (RHIT)
• Certified Professional Medical Auditor (CPMA), Certified Documentation Improvement Practitioner (CDIP), or Certified Clinical Documentation Integrity Specialist (CCDS) certification preferred