Remote Coding Audit Analyst - Revenue Integrity

ECU Health; Greenville (NC); Vor Ort; USD 40.000 - 56.000; Vollzeit

Benefits dieser Stelle

Great Benefits

Remote role

Zusammenfassung

ECU Health in Greenville, NC, is seeking a Code Edit Analyst to improve coding accuracy and revenue cycle efficiency by applying ICD-10, CPT, HCPCS coding to patient records. You will audit complex records, support Billing Manager, and coordinate reports on audit outcomes.

The role requires bachelor's degree in a health-related field, coding certification preferred, strong CMS knowledge, and the ability to work across departments.

Qualifikationen

• Bachelor's degree in health services or related field.
• National Coding Certification preferred.
• Experience auditing medical records and coding accuracy.

Aufgaben

• Performs daily coding reviews on claims to validate ICD-10, CPT, HCPCS and modifiers.
• Develops reports and prepares data for process improvement and revenue impact of errors.
• Compares UB04 data to documentation to ensure Medicare and insurer compliance.
• Identifies coding and billing problems in pre-bill and claims records review.
• Develops process improvement initiatives from identified issues.
• Understands CMS memos and transmittals.
• Understands medical records, hospital bills, and chargemaster.
• Communicates findings verbally and in writing to stakeholders.
• Performs charge reviews for appropriateness of coding and charging.

Kenntnisse

Coding (ICD-10/CPT/HCPCS)

Auditing

CMS guidelines

Medical records analysis

Communication skills

Ausbildung

Bachelor's degree in health services

National Coding Certification

Auditing experience preferred

Tools

UB-04/837 knowledge

Billing systems

Jobbeschreibung

ECU Health in Greenville, NC, is seeking a Code Edit Analyst to improve coding accuracy and revenue cycle efficiency by applying ICD-10, CPT, HCPCS coding to patient records. You will audit complex records, support Billing Manager, and coordinate reports on audit outcomes.

The role requires bachelor's degree in a health-related field, coding certification preferred, strong CMS knowledge, and the ability to work across departments.