Revecore · 16 hours ago
Billing and Coding Specialist-Outpatient
United States
Full-time
Remote
Entry, Mid Level
1+ years expRevecore is a company specializing in claims management for healthcare providers, dedicated to enhancing patient care. The Billing and Coding Specialist - Outpatient role involves performing coding and billing reviews to ensure accurate reimbursement for hospital clients, while also providing support and recommendations based on coding guidelines.
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
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
Benefits
Paid training and incentive plans
Medical, dental, vision, and life insurance benefits are available from the first day of employment
Excellent work/life balance
Employee Resource Groups build community and foster a culture of belonging and inclusion
Match 401(k) contributions
Career growth opportunities
12 paid holidays and generous paid time off
Company
Revecore
Revecore provides revenue optimization and root-cause analysis.
1001-5000 employees
Funding
Current Stage
Late StageTotal Funding
unknown2022-04-06Acquired
Leadership Team
Chad Powers
Chief Legal Officer
Michael Ford
Chief Revenue Officer
Recent News
2026-02-06
2023-12-26
Company data provided by crunchbase