Remote Revenue Cycle & Coding Specialist

Family Resource Center of Northwest Ohio, Inc.; Lima, Northern (OH, KY); Hybrid; USD 52,000 - 76,000; Full time

Job summary

Family Resource Center of Northwest Ohio, Inc. is seeking a Revenue Cycle and Coding Specialist to support accurate clinical documentation, coding, billing and revenue cycle operations. This remote role may require occasional travel to the office in Lima, OH.

The ideal candidate has a coding certificate and an associate degree or equivalent HIM experience, with strong knowledge of ICD-10-CM/PCS, CPT, HCPCS, and payer guidelines. Proficiency with EHR, billing software and MS Office is expected.

Qualifications

• Active coding certificate required.
• Associate degree in Health Information Management or related field or equivalent health information experience.
• Strong knowledge of ICD-10-CM/PCS, CPT, HCPCS and payer guidelines.

Responsibilities

• Analyze clinical documentation to identify improvement opportunities.
• Provide or coordinate education for clinical and revenue cycle teams.
• Audit and collaborate with departments to ensure accurate data and coding.
• Assign ICD-10-CM, CPT, HCPCS codes and modifiers per guidelines.
• Prepare, review, submit and track clean claims for all payer plans.
• Manage prior authorizations and reimbursements and ensure HIPAA compliance.

Skills

Clinical documentation improvement

Medical coding

Attention to detail

Communication skills

Data analysis

Education

Active coding certificate

Associate degree in Health Information Management or related field

Tools

Microsoft Office

Excel

Teams

EHR and practice management systems

Encoders and clearinghouses

Billing software

Job description

Family Resource Center of Northwest Ohio, Inc. is seeking a Revenue Cycle and Coding Specialist to support accurate clinical documentation, coding, billing and revenue cycle operations. This remote role may require occasional travel to the office in Lima, OH.

The ideal candidate has a coding certificate and an associate degree or equivalent HIM experience, with strong knowledge of ICD-10-CM/PCS, CPT, HCPCS, and payer guidelines. Proficiency with EHR, billing software and MS Office is expected.