Revenue Cycle and Coding Specialist

FAMILY RESOURCE CENTER OF NORTHWEST OHIO INC; Lima (OH); On-site; USD 60,000 - 90,000; 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 processes. The role requires knowledge of ICD-10-CM/PCS, CPT, HCPCS, payer guidelines and HIPAA compliance.

This remote position may require occasional travel to the office. The ideal candidate has an active coding certificate, an associated degree in health information management or related field, and experience in health

Qualifications

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

Responsibilities

• Analyze clinical documentation to identify opportunities for improvement.
• Prepare, review, submit, and track clean claims for all payer plans.
• Prepare, review, submit, and track prior authorizations.
• Monitor accounts receivable and reimbursements.
• Maintain confidentiality per HIPAA and organizational policies.
• Review data and present findings to stakeholders.

Skills

Clinical documentation improvement

Clinical coding

Billing

Health information management

Revenue cycle operations

Data analysis

HIPAA compliance

Medical terminology

Anatomy and physiology

Records management

Billing software

EHR systems

Practice management systems

Encoders

Clearinghouses

Microsoft Office

Excel

Teams

Internet resources

Education

Associate degree in health information management or related field

Active coding certificate

Tools

EHR systems

Practice management systems

Encoders

Clearinghouses

Billing software

Microsoft Office

Excel

Teams

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.