Coding Reimbursement Specialist III, Revenue Cycle

This is a fully remote position, open to applicants in North Carolina.

📋 Description

• Assist with the Living Cancer program, encompassing GYN, surgical, GI, hematology, infusion, and oncology services.

• Act as a subject matter expert in at least one area of specialization, such as oncology, gynecology, surgical coding, or infusion coding.

• Assign CPT and ICD codes for cases of moderate to high complexity.

• Review provider documentation, infusion records, and surgical reports to allocate CPT codes.

• Conduct ICD and CPT coding for professional services and confirm charge information.

• Apply modifiers and prioritize CPT codes when multiple codes are applicable.

• Assign Evaluation and Management (E/M) codes.

• Reconcile charges to guarantee all charges are documented.

• Input charges into relevant billing systems, either manually or automatically.

• Investigate and analyze coding and payer-specific concerns.

• Process charges efficiently and coordinate with team members and practice management.

• Engage with providers regarding moderately to highly complex coding matters, including clarifying coding rationales and offering education.

⛳️ Requirements

• A coding certification from AAPC or AHIMA is mandatory.

• A minimum of 2 years of coding experience is essential.

• CPC or an equivalent coding credential is required.

• Maintenance of coding certification (CPC, CCS, RHIT, RHIA) is necessary.

• In-depth understanding of coding, medical terminology, anatomy, and physiology.

• Comprehensive knowledge of payer-specific coding, bundling, and modifier regulations.

• A High School Diploma or GED is required.

• Capability to work Monday through Friday, first shift, totaling 40 hours per week.

• Remote work may only be authorized in registered states specified in the posting.

🏝️ Benefits

• Comprehensive Total Rewards benefits and well-being programs.

• Competitive compensation.

• Generous retirement offerings.

• Career development programs.

• Premium pay, including shift and on-call pay.

• Incentive pay for select roles.

• Opportunities for annual performance-based salary increases.

• Paid Time Off programs.

• Medical, dental, vision, life, and Short- and Long-Term Disability benefits.

• Flexible Spending Accounts for eligible health care and dependent care expenses.

• Adoption assistance.

• Paid parental leave.

• Defined contribution retirement plans with employer matching.

• Financial wellness programs.

• Educational Assistance Program.