Remote Revenue Integrity Coder & Billing Specialist

Guidehouse; Washington (District of Columbia); Remote; USD 49,000 - 81,000; Full time

Benefits offered by this job

Medical, Dental, and Vision Insurance

401(k) Retirement Plan

Tuition Reimbursement

Job summary

A leading consulting firm is seeking a Revenue Integrity Coding and Billing Specialist to join their remote team. The role involves reviewing and resolving Medicare claims, ensuring compliance with billing guidelines, and applying appropriate medical codes. The ideal candidate will have over three years of relevant experience and certification in coding. Competitive compensation ranges from $49,000 to $81,000 annually, alongside a rich benefits package that includes health insurance and retirement plans.

Qualifications

• 3+ years of prior Revenue Integrity experience is required.
• Ability to determine medical necessity of services based on provider documentation.
• Knowledge of Medicare, Medicaid, and third-party payer billing compliance required.

Responsibilities

• Daily resolution of assigned claims with Revenue Integrity pre-bill edits.
• Review clinical documentation to confirm and apply applicable coding.
• Ensure coding practices follow Federal/State guidelines.

Skills

Revenue Integrity experience

ICD-10 coding

CPT coding

HCPCS coding

Medical necessity determination

Attention to detail

Education

High School Diploma/GED

AAPC or AHIMA coding certification

Tools

Guidehouse METRIX system

Job description

A leading consulting firm is seeking a Revenue Integrity Coding and Billing Specialist to join their remote team. The role involves reviewing and resolving Medicare claims, ensuring compliance with billing guidelines, and applying appropriate medical codes. The ideal candidate will have over three years of relevant experience and certification in coding. Competitive compensation ranges from $49,000 to $81,000 annually, alongside a rich benefits package that includes health insurance and retirement plans.