Revenue Integrity Charge Specialist Fully Remote

Freddie Mac; City of Syracuse (NY); Remote; USD 50,000 - 80,000; Full time

Job summary

An established industry player in healthcare services is seeking a dedicated professional to enhance patient billing accuracy and revenue integrity. This role offers an opportunity to work in a collaborative environment, ensuring compliance with regulatory standards while engaging with diverse teams. The ideal candidate will have a strong background in coding, with relevant certifications and experience in hospital or physician practice settings. Join a mission-driven organization committed to community health improvement and make a significant impact through your expertise.

Qualifications

• Minimum three years of coding experience in a hospital or physician practice.
• Licensure in coding credentials like RHIA, RHIT, CCS, or CPC/COC required.

Responsibilities

• Ensure accurate CPT and ICD-10 documentation for patient billing.
• Educate colleagues on proper documentation and coding practices.

Skills

CPT and ICD-10 documentation

Charge entry and approvals

Medical terminology

Electronic medical records

Education

High school diploma or equivalent

RHIA, RHIT, CCS, CPC/COC certification

3+ years coding experience

Tools

MS Excel

MS Word

MS PowerPoint

Epic

Job description

Employer Industry: Healthcare Services

Why consider this job opportunity:
- Opportunity for career advancement and growth within the organization
- Supportive and collaborative work environment
- Chance to make a positive impact on patient billing accuracy and revenue integrity
- Work in a mission-driven organization dedicated to community health improvement
- Engage with diverse teams and stakeholders across the healthcare spectrum

What to Expect (Job Responsibilities):
- Ensure accurate CPT and ICD-10 documentation for the patient billing process
- Educate colleagues and providers on proper documentation and coding practices
- Perform charge entry, approvals, and quality reviews, including modifier application
- Conduct denial coordination and assist with appeals as needed
- Maintain compliance with regulatory requirements and productivity standards

What is Required (Qualifications):
- High school diploma or equivalent combination of education and experience
- Minimum three (3) years of relevant coding and charge control work experience in a Hospital and/or Physician Practice environment
- Licensure / Certification: RHIA, RHIT, CCS, CPC/COC or other coding credentials required
- Strong working knowledge of medical terminology and clinical processes
- Ability to perform charge capture processes and understand electronic medical records

How to Stand Out (Preferred Qualifications):
- CHC (Healthcare Compliance Certification) preferred
- Knowledge of clinical documentation improvement processes preferred
- Experience with MS Excel, Word, and PowerPoint preferred
- Epic experience desired
- Familiarity with Ambulatory Payment Classification (APC) and Outpatient Prospective Payment System (OPPS) reimbursement structures

#HealthcareServices #RevenueIntegrity #CareerOpportunity #MissionDriven #CodingExcellence

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