Clinical Coding & Revenue Integrity Specialist

Bristol Hospital Group; Bristol (VA); On-site; USD 52,000 - 76,000; Full time

Job summary

Bristol Health is seeking a Medical Coding and Billing Specialist to review provider documentation, abstract professional services, and ensure accurate code assignment and compliant claims. You will analyze denials, implement coding rules, and educate providers to improve reimbursement outcomes.

The role focuses on accurate coding, charge integrity, and collaboration with MSG offices and hospital departments to support compliant billing practices.

Qualifications

• Requires knowledge of CPT/HCPCS and ICD-10-CM coding guidelines.
• Ability to review provider documentation and abstract billable professional services.
• Experience with resolving coding-related denials and pursuing compliant billing.

Responsibilities

• Reviews provider progress note and related documentation to abstract billable professional services accurately.
• Assigns and corrects CPT, HCPCS, modifiers, and ICD-10-CM codes based on documentation and payer rules.
• Performs charge review and coding reconciliation for professional services to ensure compliant claims.
• Reviews coding-related denials and edit failures and identifies trends.
• Collaborates with billing, compliance, and departmental leadership to improve processes.

Skills

CPT/HCPCS coding

ICD-10-CM coding

Denials analysis

Provider education

Education

High School diploma

Tools

Vitalware

AMA Coding Guidelines

Job description

Bristol Health is seeking a Medical Coding and Billing Specialist to review provider documentation, abstract professional services, and ensure accurate code assignment and compliant claims. You will analyze denials, implement coding rules, and educate providers to improve reimbursement outcomes.

The role focuses on accurate coding, charge integrity, and collaboration with MSG offices and hospital departments to support compliant billing practices.