Remote Hospital Billing Edit & Denial Specialist

Catholic Health; Buffalo (NY); Hybrid; USD 52,000 - 76,000; Full time

Job summary

Role requires a CPC/CCS credential (RHIT/RHIA acceptable with 5+ years coding). Office-based with potential remote work using a laptop; strong attention to detail and time management are essential.

Qualifications

• High school diploma required; coding credential (CPC/CCS) required.
• RHIT/RHIA with 5+ years coding experience acceptable.
• Experience with hospital outpatient or professional coding preferred and payor policies helpful.

Responsibilities

• Review and resolve Medicare and third-party payer accounts subject to pre-bill edits and denials.
• Interpret coding rules, payer policies, NCDs/LCDs, and billing regulations to ensure accurate claims.
• Collaborate with audit appeals specialists and managers to prevent claim holds and delays.

Skills

Attention to detail

Multitasking

Strong communication

Time management

Confidentiality

Education

High school diploma

Coding credential (CPC/CCS) required

RHIT or RHIA with 5 years coding experience acceptable

Tools

Epic experience

Job description

Role requires a CPC/CCS credential (RHIT/RHIA acceptable with 5+ years coding). Office-based with potential remote work using a laptop; strong attention to detail and time management are essential.