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Revenue Cycle and Coding Specialist
ADPRevenue Cycle and Coding Specialist at Central Health, handling billing and coding for insurance claims. Ensuring compliance and training healthcare providers on coding practices in a hybrid role.
About the role
Key responsibilities & impact- Responsible for revenue cycle functions including coding/edit charge review
- Accurate timely submission of insurance claims
- Failed claims/follow‐up resolutions
- Training and education on coding
- Conduct chart reviews on documentation and correct coding
- Ensures compliance with governmental and contractual obligations
- Clearing all coding edits generated by EMR/PM
- Process insurance payments and reconcile deposits
- Serve as an intermediary between healthcare providers, patients, and health insurance companies
Requirements
What you’ll need- High School Diploma
- 4 years of experience in medical coding, medical auditing, or billing, in multi-specialty outpatient/professional billing setting
- Certified Coding Specialist (CCS) through governing body AHIMA OR Certified Coding Specialist ‐ Physician (CCS‐P) OR Certified Professional Coder ‐ (CPC) through governing body AAPC
- Knowledge of revenue cycle, billing and collections processes and procedures
- Demonstrated knowledge of Epic or other medical billing software
- Demonstrated knowledge of ICD‐10, CPT and HCPCS coding
- Demonstrated knowledge of Medicare, Medicaid, and other third-party insurers
- Attention to detail and accuracy
- Verbal and written communication skills
Benefits
Comp & perks- None specified 📊 Check your resume score for this job Improve your chances of getting an interview by checking your resume score before you apply. Check Resume Score
ATS Keywords
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Hard Skills & Tools
medical codingmedical auditingbillingICD-10CPTHCPCS codingrevenue cycleinsurance claims processingchart reviewscoding compliance
Soft Skills
attention to detailaccuracyverbal communicationwritten communication
Certifications
Certified Coding Specialist (CCS)Certified Coding Specialist - Physician (CCS-P)Certified Professional Coder (CPC)