Job Summary
A company is looking for a Revenue Integrity Coding Billing Specialist.
Key Responsibilities
- Resolve assigned claims related to Revenue Integrity pre-bill edits and denials
- Review clinical documentation to validate and apply appropriate coding
- Ensure compliance with Federal/State billing guidelines and maintain knowledge of payer requirements
Required Qualifications
- High School Diploma or equivalent
- 5+ years of Revenue Integrity experience
- AAPC or AHIMA coding certification
- Experience in ICD-10, CPT, and HCPCS Level II coding
- Knowledge of Medicare, Medicaid, and third-party payer billing compliance guidelines
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