Revenue Cycle Specialist – Revenue Integrity, Pathology

Cornell University

Revenue Cycle Specialist at Weill Cornell Medicine resolving coding-related insurance payment denials. Reviewing medical records and conducting coding reviews with compliance training.

Posted 7/9/2026full-timeRemote • New York • 🇺🇸 United StatesMid-LevelSenior💰 $33 - $37 per hourWebsite

About the role

Key responsibilities & impact

Performs retrospective coding review of denied charges for physician services.
Reviews medical records for completeness and accuracy to ensure documentation supports the services billed and all documentation standards are met for billing.
Make corrections to charges when necessary.
Analyze for invalid denial trends, payer specific carrier submission requirements & system optimization.
Performs extensive follow-up to investigate and resolve payment denial trends.
Resolves outstanding accounts utilizing ancillary applications and websites as tools to retrieve medical documentation.
Researches and interprets payer contract terms and compiles necessary supporting documentation templates for appeals.
Ensures denial reviews are conducted in a timely manner.
Maintains up-to-date policies and procedures and knowledge related to managed care and third party payors.
Participates in annual and on-going mandatory compliance training.
Fulfills Continuing Education Units necessary to maintain certification status.
Assists in training current and new employees on the use of systems and departmental policies and procedures.
Performs other related duties as assigned.

Requirements

What you’ll need

High school diploma or GED in related field
Certification as a Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) certified by AHIMA or AAPC.
Approximately 3-5 years of physician billing experience, specifically accounts receivable and collection experience.
Prior experience working with an eMR system.
Knowledge of medical terminology.
Knowledge of third-party reimbursement.
Microsoft Excel and other reporting software to sort, filter, summarize, and identify various accounts receivable trends.
Pathology experience preferred.

Benefits

Comp & perks

🌐 Worldwide ❌ Jobs You've Hidden ⭐️ Saved Jobs ✅ Applied Jobs ✉️ Email Alerts 👤 Account Cornell University Website LinkedIn All Job Openings 1 - 10 employees 📚 Education ⚕️ Healthcare Insurance 🧬 Biotechnology Education
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Biotechnology Cornell University is a prestigious Ivy League institution that provides a comprehensive education in various disciplines, placing a strong emphasis on research and academic excellence. It is home to Weill Cornell Medicine, which focuses on medical education, research, and patient care, contributing significantly to the fields of healthcare and biotechnology. Revenue Cycle Specialist – Revenue Integrity, Pathology Job not on LinkedIn 🔥 0 minutes ago 🗽 New York – Remote 💵 $32 - $36 / hour ⏰ Full Time 🟡 Mid-level 🟠 Senior ✨ Revenue Cycle Specialist 🦅 H1B Visa Sponsor Apply Now Find Hiring Managers Customize resume + cover letter Report problem ☆ Save ☑️ Mark as applied ❌ Hide 📋 Description
Performs retrospective coding review of denied charges for physician services.
Reviews medical records for completeness and accuracy to ensure documentation supports the services billed and all documentation standards are met for billing.
Make corrections to charges when necessary.
Analyze for invalid denial trends, payer specific carrier submission requirements & system optimization.
Performs extensive follow-up to investigate and resolve payment denial trends.
Resolves outstanding accounts utilizing ancillary applications and websites as tools to retrieve medical documentation.
Researches and interprets payer contract terms and compiles necessary supporting documentation templates for appeals.
Ensures denial reviews are conducted in a timely manner.
Maintains up-to-date policies and procedures and knowledge related to managed care and third party payors.
Participates in annual and on-going mandatory compliance training.
Fulfills Continuing Education Units necessary to maintain certification status.
Assists in training current and new employees on the use of systems and departmental policies and procedures.
Performs other related duties as assigned. 🎯 Requirements
High school diploma or GED in related field
Certification as a Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) certified by AHIMA or AAPC.
Approximately 3-5 years of physician billing experience, specifically accounts receivable and collection experience.
Prior experience working with an eMR system.
Knowledge of medical terminology.
Knowledge of third-party reimbursement.
Microsoft Excel and other reporting software to sort, filter, summarize, and identify various accounts receivable trends.
Pathology experience preferred. Apply Now 📊 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 Similar Jobs Revenue Cycle Payer Enrollment Specialist 🕒 July 2 Bozeman Health 1001 - 5000 ⚕️ Healthcare Insurance 💊 Pharmaceuticals 🔬 Science Website LinkedIn All Job Openings Revenue Cycle Payer Enrollment Specialist responsible for coordinating and monitoring provider credentialing. Engaging with providers and teams to ensure compliance with healthcare standards and timely renewals. 🇺🇸 United States – Remote ⏰ Full Time 🟢 Junior 🟡 Mid-level ✨ Revenue Cycle Specialist Revenue Cycle Specialist III 🕒 June 27 Cedars-Sinai 10,000+ employees Website LinkedIn All Job Openings Revenue Cycle Specialist III managing billing and collections processes at Cedars-Sinai. Collaborating with clinical departments and maintaining patient account accuracy and resolution. 🇺🇸 United States – Remote 💵 $25 - $38 / hour ⏰ Full Time 🟡 Mid-level 🟠 Senior ✨ Revenue Cycle Specialist Revenue Cycle Specialist III – Gastroenterology 🕒 June 27 Cedars-Sinai 10,000+ employees Website LinkedIn All Job Openings Revenue Cycle Specialist managing billing and collections processes in gastroenterology at Cedars-Sinai. Involves relationship management and claim resolutions for optimal reimbursements. 🇺🇸 United States – Remote 💵 $25 - $38 / hour ⏰ Full Time 🟡 Mid-level 🟠 Senior ✨ Revenue Cycle Specialist Revenue Cycle Specialist III – Orthopedics 🕒 June 27 Cedars-Sinai 10,000+ employees Website LinkedIn All Job Openings Revenue Cycle Specialist III handling billing and collections for Hospital and Professional Fee at Cedars-Sinai. Works under general supervision managing claims submission and account follow-up activities. 🇺🇸 United States – Remote 💵 $25 - $38 / hour ⏰ Full Time 🟡 Mid-level 🟠 Senior ✨ Revenue Cycle Specialist Revenue Cycle Denial Specialist 🕒 June 26 Bozeman Health 1001 - 5000 ⚕️ Healthcare Insurance 💊 Pharmaceuticals 🔬 Science Website LinkedIn All Job Openings Revenue Cycle Denial Specialist analyzing and resolving post-billed denials for healthcare claims. Collaborating across departments to improve revenue cycle performance and prevent future denials. 🇺🇸 United States – Remote ⏰ Full Time 🟡 Mid-level 🟠 Senior ✨ Revenue Cycle Specialist 🌐 Worldwide Built by Lior Neu-ner. I'd love to hear your feedback — Get in touch via DM or support@remoterocketship.com Search Search Jobs by country Search jobs by city Search jobs by job title Search entry-level jobs Search junior-level jobs Search senior-level jobs Search jobs by tech stack Search jobs by contract type Search remote internships Search remote part-time jobs Remote jobs Anywhere in the World Companies Hiring Anywhere in the World Companies Hiring Sales People Anywhere in the World Companies Hiring Software Engineers Anywhere in the World Resources Advice Tips for finding remote jobs Interview questions and answers Resume examples Cover letter examples Post a job Affiliates Privacy policy Terms of service Job board SEO course AI Apply Copilot OpenClaw job finder Find jobs using your resume Jobs by Country Remote jobs anywhere in the world (Worldwide remote jobs) Remote jobs United States Remote jobs Australia Remote jobs Brazil Remote jobs Canada Remote jobs France Remote jobs Ireland Remote jobs Germany Remote jobs Netherlands Remote jobs Spain Remote jobs UK Popular Jobs Remote data analyst jobs Remote customer support jobs Remote executive assistant jobs Remote marketing jobs Remote product designer jobs Remote product manager jobs Remote project manager jobs Remote recruiter jobs Remote sales jobs Remote software engineer jobs Jobs by Type Remote full-time jobs Remote part-time jobs Remote contract jobs Remote internship jobs Remote entry-level jobs Remote jobs with no experience required Remote junior jobs (1-3 years of experience) Digital nomad jobs Remote jobs with no degree required Freelance remote jobs Temporary remote jobs Remote jobs hiring now Stay at home mom jobs

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Hard Skills & Tools

Retrospective Coding ReviewDenial Trend AnalysisCharge CorrectionAccounts Receivable ManagementPayer Contract Interpretation

Soft Skills

Attention to DetailProblem-SolvingTraining and Mentoring

Certifications

Certified Professional Coder (CPC)Certified Coding Specialist (CCS)