Billing and Coding Specialist

This is a fully remote position, open to applicants in Alabama, +27 more states.

📋 Description

• Provide accurate and timely assistance to both internal and external customers regarding coding and billing inquiries.

• Conduct retrospective reviews of coding and billing for outpatient hospital claims.

• Support the processing of outpatient claims.

• Offer correction recommendations to internal team members or clients, based on coding standards, industry billing practices, or payer-specific guidelines.

• Stay informed about updates and changes in coding guidelines and payer-specific billing standards for both commercial and government payers.

• Understand payment methodologies and their relevance to billing and coding situations.

• Foster strong, enduring relationships with Revecore personnel.

• Participate in department and company meetings as necessary.

• Adhere to federal and state regulations as well as company and departmental policies and procedures.

• Assist with associated responsibilities to fulfill business requirements.

• Undertake other duties as assigned.

⛳️ Requirements

• AAPC or AHIMA Coding certification is required, such as CPC, COC, CIC, CCS-P, or CCS.

• Minimum of 1 year of experience in hospital coding or auditing.

• Knowledge of Managed Care, Medicare, and Medicaid billing and reimbursement standards.

• Familiarity with inpatient and outpatient hospital reimbursement methodologies.

• Proficiency in mathematical concepts related to claim payment methodologies.

• Ability to read and interpret claims, instructions, policies, procedures, and diagrams in English.

• Capability to articulate ideas on complex, detailed matters.

• Proficient in problem definition, data collection, fact establishment, and drawing valid conclusions.

• Strong team player with a willingness to adapt to changing priorities.

• Commitment to upholding company values.

• High school diploma or equivalent is mandatory.

• Competence in Microsoft Office Suite, including Word and Excel.

• Enthusiasm for learning new technologies and gaining expertise in internal applications.

• Strong skills in computer navigation.

• Ability to use multiple software programs concurrently.

• A quiet, distraction-free home work environment is essential.

• A reliable private hard-wired internet connection is required; cellular data or hotspot connections are not acceptable.

• Home internet speeds must exceed 20 Mbps download and 10 Mbps upload.

• Workspace must accommodate workstation equipment and related materials.

• Must reside in an approved U.S. state as listed in the posting.

• Employment eligibility in the United States is required.

• Successful verification of employment history and background check is necessary.

🏝️ Benefits

• Comprehensive health coverage.

• 401(k) matching.

• Paid training.

• Generous paid time off (PTO).

• Paid holidays.

• Opportunities for learning and development.

• Internal advancement opportunities.

• Remote work from home.