Remote Hospital Billing Edit & Denial Resolution Specialist

Catholic Health; Buffalo (NY); Hybrid; USD 55,000 - 75,000; Full time

Job summary

Catholic Health seeks a Coding Billing Edit Resolution Specialist to provide hospital billing support by reviewing and resolving pre-bill edits and denials in Medicare and third‑party payer accounts. You will apply coding rules, payor policies, and billing regulations with attention to detail.

The role requires a coding credential (CPC/CCS or RHIT/RHIA with experience) and strong organizational, time-management, and communication skills.

Qualifications

• Must have calm and pleasant demeanor when working with provider offices
• Detail oriented with ability to manage multiple priorities concurrently
• Strong keyboarding skills and computer proficiency
• Knowledge of coding rules, payor policies and billing regulations

Responsibilities

• Review and resolve pre-bill edits and denials for Medicare and third‑party payers
• Apply coding rules, NCDs, LCDs and billing regulations to ensure accurate claims
• Maintain understanding of payor payment policies and documentation requirements

Skills

Attention to detail

Time management

Verbal communication

Organizational skills

Confidentiality

Prioritization

Education

CPC or CCS credential

RHIT or RHIA with 5 years coding experience

High school diploma

Tools

Epic

Job description

Catholic Health seeks a Coding Billing Edit Resolution Specialist to provide hospital billing support by reviewing and resolving pre-bill edits and denials in Medicare and third‑party payer accounts. You will apply coding rules, payor policies, and billing regulations with attention to detail.

The role requires a coding credential (CPC/CCS or RHIT/RHIA with experience) and strong organizational, time-management, and communication skills.