Revenue Cycle and Coding Specialist

Family Resource Center; Lima (OH); On-site; USD 65,000 - 90,000; Full time

Job summary

Family Resource Center is seeking a Revenue Cycle and Coding Specialist to support accurate coding, billing, and revenue cycle processes. The role emphasizes clinical documentation improvement, coding accuracy, and compliance across payer guidelines.

Remote position with occasional travel to the Lima, OH office may be required. The ideal candidate has active coding credentials, education in health information management or related fields, and experience with ICD-10-CM/PCS, CPT, HCPCS, and

Qualifications

• Active coding certificate and knowledge of ICD-10-CM/PCS, CPT, HCPCS.
• Associate degree or equivalent experience in health information management, medical coding, or billing.
• Strong knowledge of payer guidelines, medical necessity, and HIPAA/privacy policies.
• Experience with EHR and practice management systems and billing software.

Responsibilities

• Analyze clinical documentation to identify opportunities for improvement.
• Provide or coordinate education.
• Partner with departments, clinical and revenue cycle teams.
• Participate and complete audits.
• Analyze and react to data.
• Maintain knowledge of multiple payer types.
• Maintain confidentiality of patient information per HIPAA and policies.
• Review and ensure accurate data is documented.
• Assign ICD-10-CM, CPT, HCPCS, and modifiers per guidelines.
• Prepare, review, submit, and track clean claims for all payer plans.
• Prepare, review, submit, and track prior authorizations.
• Process reimbursements and payments.
• Monitor accounts receivable.
• Perform other duties as assigned.

Skills

Analytical thinking

Attention to detail

Communication skills

HIPAA compliance knowledge

Education

Active coding certificate

Associate degree in health information management / medical coding / billing / related field

Recognized coding/clinical/health information credential

Tools

Microsoft Office

Excel

EHR systems

Practice management systems

Encoders

Billing software

Clearinghouses

Job description

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process.

Revenue Cycle and Coding Specialist

Full Time 9-Billing Service Lima, OH, US

3 days ago Requisition ID: 2085

We are seeking a detail-oriented Revenue Cycle and Coding Specialist to support accurate, complete, and compliant clinical documentation, coding, billing, reimbursement, and revenue cycle processes. The ideal candidate will have experience in clinical documentation improvement, clinical coding, billing, health information management, and revenue cycle operations. Remote position with occasional travel to the office may be required. Experience in FQHC and behavioral health settings is preferred.

Qualifications include active coding certificate, associates degree in related education or experience in health information management, medical coding, billing, or a clinical profession; a recognized coding, clinical, or health information credential; strong knowledge of ICD-10-CM/PCS, CPT, HCPCS, payer guidelines, reimbursement, medical necessity, medical terminology, anatomy, physiology, clinical documentation, records management, billing terminology, and healthcare compliance. The role also requires the ability to analyze and present complex information clearly, proficiency with Microsoft Office, Excel, Teams, internet resources, EHR and practice management systems, encoders, clearinghouses, and billing software, along with professional, service-oriented communication and strong attention to detail.

Responsibilities Include:

• Analyze clinical documentation to identify opportunities for improvement.
• Provide or coordinate education
• Partner with departments, clinical and revenue cycle teams
• Participate and complete audits
• Analyze and react to data
• Maintain and possess working knowledge of multiple payer types
• Ability to maintain confidentiality of patient information and comply with HIPAA and organizational privacy policies.
• Review and ensure accurate data is documented
• Assign appropriate ICD-10-CM, CPT, HCPCS, and modifiers, based on documentation and applicable coding guidelines.
• Prepare, review, submit, and track clean claims for all payer plans
• Prepare, review, submit, and track prior authorizations
• Process reimbursements and payments
• Monitor accounts receivable
• Perform other job-related duties as assigned.