Assist the Director of HIM in preparing claim audits, reviewing and recommending coding, revenue cycle and charge/billing changes on client hospital outpatient and Profee claims using proprietary software product.
Requirements
- 5+ years of directly related experience
- Expert knowledge in revenue cycle and Outpatient coding (ER, SDS, OBS, ancillary, IR, Profee, E/M facility, I&I)
- Medical Terminology and anatomy knowledge is required
- Clinical Documentation and Inpatient coding experience is preferred
- Must have strong understanding of revenue cycle, CMS Manual/guidelines, Medicaid guidelines
- Strong Microsoft Excel, PowerPoint, Word and OneNote skills
- Must have strong understanding of the Official Coding Guidelines, OP coding and billing (i.e. including but not limited to knowledge of rev codes, HCPCS, MUE and CCI edits, UoS)
- Strong analytical capability, independent thinker and good decision-making skills
- Excellent written and verbal communication and presentation skills
- Strong computer and technology knowledge and skills
- Highly professional demeanor, great client satisfaction skills
Benefits
- Generous Paid Time Off
- 401k Matching
- Retirement Plan
- Relocation Assistance
- Tuition Reimbursement
