RCS-CPT Coding Denial Expert, CC
Job Location
08 April, 2025
Full Time
Day
394356
RCS-CPT Coding Denial Expert, CC
Job Description
Overview
Hours: Monday-Friday, variety of available shifts
This position exists to provide accurate and timely clinical data for billing and optimal reimbursement, quality assessment, comparative databases, physician profiling, and administrative purposes. This position is responsible for, but not limited to, reviewing and resolving pre-bill coding related edits as well as coding related and non-covered service claim denials. Utilizing coding guidelines, payer portals and policies for optimal reimbursement. Processing charge corrections, write offs and patient balance transfers. Meeting established productivity and quality goals. This position is remote.
Key Responsibilities:
- Reviewing and resolving pre-bill coding related edits as well as coding related and non-covered service claim denials.
- Utilizing coding guidelines, payer portals and policies for optimal reimbursement
- Processing charge corrections, write offs and patient balance transfers
- Meeting established productivity and quality goals.
Requirements:
• Requires a high level of interpersonal, problem solving, and analytic skills.
• Requires the ability to establish and maintain collaborative working relationships with others.
• Requires effective written and verbal communication skills.
• Requires strong attention to detail, problem solving and critical thinking skills.
• Requires ability to work with and maintain confidential information.
We are an equal opportunity employer and value diversity and inclusion at IU Health. IU Health does not discriminate on the basis of race, color, religion, sex, sexual orientation, age, disability, genetic information, veteran status, national origin, gender identity and/or expression, marital status or any other characteristic protected by federal, state or local law. We will ensure that individuals with disabilities are provided reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. Please contact us to request accommodation.
Qualifications for the RCS-CPT Coding Denial Expert, CC Role
Overview
Hours: Monday-Friday, variety of available shifts
This position exists to provide accurate and timely clinical data for billing and optimal reimbursement, quality assessment, comparative databases, physician profiling, and administrative purposes. This position is responsible for, but not limited to, reviewing and resolving pre-bill coding related edits as well as coding related and non-covered service claim denials. Utilizing coding guidelines, payer portals and policies for optimal reimbursement. Processing charge corrections, write offs and patient balance transfers. Meeting established productivity and quality goals. This position is remote.
Key Responsibilities:
- Reviewing and resolving pre-bill coding related edits as well as coding related and non-covered service claim denials.
- Utilizing coding guidelines, payer portals and policies for optimal reimbursement
- Processing charge corrections, write offs and patient balance transfers
- Meeting established productivity and quality goals.
Requirements:
- Requires High School Diploma or equivalent. RHIA, RHIT, CCS, CCS-P, COC, or CPC credential required. Acceptable credentials or experience may vary depending on type of role (physician coding, facility coding, pre-bill coding edits). Requires ability to read, understand and interpret medical records and other treatment documentation.
- Requires a high level of interpersonal, problem solving, and analytic skills.
- Requires the ability to establish and maintain collaborative working relationships with others.
- Requires effective written and verbal communication skills.
- Requires strong attention to detail, problem solving and critical thinking skills.
- Requires ability to work with and maintain confidential information.
Indiana University Health is Indiana’s most comprehensive health system, with 15 hospitals and nearly 40,000 team members serving Hoosiers across the state. Our partnership with the Indiana University School of Medicine gives our team members access to the very latest science and the very best training, advancing care for all. We’re looking for team members who share the things that matter most to us. People who are inspired by challenging and meaningful work for the good of every patient. People who are compassionate and serve with a purpose. People who aspire to excellence every day. People who are always ready to apply themselves.
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