Medical Coding Reviewer III, CPC, RHIT/RHIA Required

This is a fully remote position, open to applicants in United States.

📋 Description

• Assist in managing the most intricate medical record audit initiatives

• Produce detailed and comprehensive reports and analyses to monitor performance

• Deliver Provider Pre Pay production and status updates

• Suggest modifications to processes or procedures

• Exhibit strong leadership capabilities

• Recognize knowledge deficiencies and offer training opportunities

• Act as a key resource for provider escalation assistance

• Keep abreast of all pertinent state and federal laws, regulations, and billing practices

⛳️ Requirements

• An Associate's degree is mandatory

• A minimum of five (5) years of experience in medical billing and coding

• At least three (3) years of experience in SIU/FWA medical billing and coding is required

• Previous involvement with claim pre-payment and medical claim and documentation auditing is necessary

• Experience with Medicaid/Medicare is essential

• Three (3) years of experience with Facets is preferred

• Familiarity with reimbursement methodologies (APC, DRG, OPPS) is required

• Inpatient coding experience is preferred

• Leadership experience is favored

🏝️ Benefits

• Health insurance

• Retirement plans

• Paid time off

• Flexible work arrangements

• Professional development opportunities

• Bonuses

• Comprehensive total rewards package