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Revecore · 1 month ago

Billing and Coding Specialist-Outpatient

United States

Full-time

Remote

Entry Level

1+ years exp

Revecore is a leader in specialized claims management, dedicated to enhancing patient care for healthcare providers. As a Billing and Coding Specialist-Outpatient, you will perform coding and billing reviews, support customers with inquiries, and ensure accurate reimbursement for hospital clients.

AnalyticsManagement ConsultingMedical

Responsibilities

Support internal and external customers by providing accurate and timely responses to coding and billing questions

Perform retrospective coding and billing reviews on outpatient hospital claims and assistance with outpatient claims

Provide correction recommendations to internal associates or clients, and support recommendations with rationale that may include coding guidelines, industry standard billing guidelines, or payer specific guidelines

Research and stay current on industry changes with regards to coding guidelines and payer specific billing guidelines for commercial and government payers

Comprehend payment methodologies and how they apply to billing and coding scenarios

Build strong, lasting relationships with Revecore personnel

Attend department and company meetings as required

Comply with federal and state laws, company and department policies and procedures

Assist with other related responsibilities to meet the needs of the business

Perform other duties as assigned

Qualification

AAPCAHIMA certificationHospital coding experienceManaged Care billing knowledgeMicrosoft Office proficiencyPayment methodologies understandingEagerness to learnMathematical skillsTeam player

Required

AAPC or AHIMA Coding certification required, with 1+ years hospital coding/ auditing experience i.e., CPC, COC, CIC, CCS-P, CCS

Understanding of Managed Care, Medicare and Medicaid billing and reimbursement guidelines

Understanding of inpatient and outpatient hospital reimbursement methodologies

Mathematical skills sufficient to apply the concepts of claim payment methodologies

Ability to read and interpret an extensive variety of documents such as claims, instructions, policies and procedures in written (in English) and diagram form

Ability to present ideas on complex, detailed issues with ease

Ability to define problems, collect data, establish facts and draw valid conclusions

Strong team player, with willingness to adapt to changing priorities

Commitment to company values

High school diploma or equivalent required

Working knowledge of Microsoft Office suite (Word, Excel)

Eagerness to learn new technologies and develop proficiency in internal applications

Strong computer navigation skills and experience using multiple software programs simultaneously to complete work

A quiet, distraction-free environment to work from in your home

A reliable hard-wired private internet connection that is not supplied via cellular data or hotspot is required

Home internet with speeds >20 Mbps for downloads and >10 Mbps for uploads

The workspace area accommodates all workstation equipment, related materials, and provides adequate surface area to be productive