[Hiring] Billing and Coding Specialist-Outpatient @Revecore

Role Description

Performs retrospective outpatient coding and billing reviews in coordination with internal staff in our mission to capture full, fair, and accurate reimbursement for our hospital clients.

As a Billing and Coding Specialist -- Outpatient, you will:

• 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.

Qualifications

• 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.

Requirements

• 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.

Work at Home Requirements

• 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

• We offer paid training and incentive plans.
• Our medical, dental, vision, and life insurance benefits are available from the first day of employment.
• We enjoy excellent work/life balance.
• Our Employee Resource Groups build community and foster a culture of belonging and inclusion.
• We match 401(k) contributions.
• We offer career growth opportunities.
• We celebrate 12 paid holidays and generous paid time off.