Revenue Cycle Specialist: Claims & Billing Pro

St. Francis-Emory Healthcare; Columbus (GA); On-site; USD 45,000 - 65,000; Full time

Job summary

St. Francis–Emory Healthcare in Columbus, GA is seeking a Revenue Cycle Specialist to support billing accuracy by reviewing medical records, documentation, and charging edits. The role focuses on resolving billing edits, improving charge integrity, and coordinating audits.

This position requires at least 1 year of medical coding experience and familiarity with various payer types; strong attention to detail and ability to work under pressure are essential in a hospital setting.

Qualifications

• 1+ year Medical Coding – Required
• Experience with various payer types - Required
• Ability to review medical records and documentation for billing accuracy

Responsibilities

• Review and resolve billing edits to move claims to Billing
• Coordinate retrospective, concurrent, and external billing audits
• Explain charges to patients and interact with departments to obtain documentation
• Balance and reconcile daily deposits and ensure timely corrections of rejects

Skills

Medical Coding

Billing edits

Payer types

Documentation

Education

High School Diploma

Job description

St. Francis–Emory Healthcare in Columbus, GA is seeking a Revenue Cycle Specialist to support billing accuracy by reviewing medical records, documentation, and charging edits. The role focuses on resolving billing edits, improving charge integrity, and coordinating audits.

This position requires at least 1 year of medical coding experience and familiarity with various payer types; strong attention to detail and ability to work under pressure are essential in a hospital setting.