Coding Account Resolution Specialist

HHS; Brasil; Teletrabalho; BRL 120.000 - 160.000; Tempo integral

Resumo da oferta

A leading healthcare organization in Brazil is looking for an experienced outpatient coder to manage coding and billing processes. The ideal candidate will possess at least 3 years of facility outpatient coding experience and have strong knowledge of coding guidelines. This opportunity offers career advancement and a supportive environment. Competitive salary up to $43.00 per hour is available.

Serviços

Opportunity for career advancement

Supportive work environment

Ongoing education support

Qualificações

• Minimum of 3 years of facility outpatient coding experience, including SDC, OBV, IVR.
• Strong understanding of reimbursement methodologies.
• Certification: RHIA, RHIT, or CCS preferred.

Responsabilidades

• Compile and manage daily worklists from eRequest, CRT, and alert systems.
• Review and resolve alerts for Same Day Surgery and Outpatient accounts.
• Document notes for unresolved alerts and escalate issues accordingly.
• Collaborate with billing and revenue integrity teams to resolve edits.
• Maintain compliance with coding/billing guidelines.

Conhecimentos

ICD-10-CM knowledge

CPT/HCPCS knowledge

Analytical skills

Communication skills

Organizational skills

Proficiency in Microsoft Excel

Formação académica

High school diploma or GED

Associate or Bachelor’s in HIM/HIT

Ferramentas

Meditech/Meditech Expanse

3M/Solventum encoder

HPF/MPF

Descrição da oferta de emprego

Overview

Employer Industry: Healthcare Services

Why consider this job opportunity

• Salary up to $43.00 per hour
• Opportunity for career advancement and growth within the organization
• Supportive and collaborative work environment
• Chance to make an impact by ensuring accurate coding and billing processes
• Engage in ongoing education to maintain current coding knowledge

What to Expect (Job Responsibilities)

• Compile and manage daily worklists from eRequest, CRT, and/or other alert/edit systems.
• Review and resolve alerts/edits for Same Day Surgery (SDC), Observation (OBV), Wound Care, and Outpatient Cardiac Cath accounts.
• Document detailed notes in eRequest for unresolved alerts/edits and escalate issues to prevent billing delays.
• Collaborate with billing, revenue integrity, and Medicare Service Center teams to resolve complex edits.
• Maintain compliance with CMS, AHA, and company coding/billing guidelines.

What is Required (Qualifications)

• Minimum educational requirement: High school diploma or GED; Associate or Bachelor’s in HIM/HIT preferred.
• Minimum of 3 years of facility outpatient coding experience, including SDC, OBV, IVR, Cardiology, and Wound Care.
• Strong knowledge of ICD-10-CM, CPT/HCPCS, and reimbursement methodologies.
• Proficiency with Meditech/Meditech Expanse, 3M/Solventum encoder, HPF/MPF, and Microsoft Office (Excel proficiency required).
• Strong analytical and problem-solving skills, with excellent communication and organizational abilities.

How to Stand Out (Preferred Qualifications)

• Certification: RHIA, RHIT, or CCS preferred.
• Demonstrated ability to collaborate effectively with cross-functional teams.

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