Job Summary
A company is looking for a Medical Reimbursement Review Coordinator.
Key Responsibilities
- Analyze reimbursement data from third-party payers to identify trends and systemic issues
- Initiate and track appeals, manage fee schedule updates, and collaborate with payers on contracts
- Serve as a liaison between Coding, Revenue Integrity, AR follow-up, and Payer Contracting
Required Qualifications
- Bachelor's degree (relevant experience may substitute for formal education)
- 2-4 years of relevant experience
- Strong knowledge of ICD-10, CPT, and HCPCS coding standards
- Experience with Experian Contract Management and fee schedule maintenance
- Familiarity with IDX and experience with Epic
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