- Paid training and incentive plans depending on the role.
- Medical, dental, vision, and life insurance benefits are available from the first day of employment.
- 401(k) with employer match after 90 days
- Career growth opportunities
- Generous PTO plan
- 12 paid holidays
- Computers and necessary work equipment are provided.
As a Billing and Coding Specialist – Outpatient, you will:
- Support internal and external customers by providing accurate and timely responses to coding and billing questions.
- Perform retrospective coding and billing reviews on outpatient hospital claims and assistance with outpatient claims.
- Provide correction recommendations to internal associates or clients, and support recommendations with rationale that may include coding guidelines, industry standard billing guidelines, or payer specific guidelines.
- Research and stay current on industry changes with regards to coding guidelines and payer specific billing guidelines for commercial and government payers
- Comprehend payment methodologies and how they apply to Billing and Coding scenarios.
- Build strong, lasting relationships with Revecore personnel.
- Attend department and company meetings as required.
- Comply with federal and state laws, company and department policies and procedures.
- Assist with other related responsibilities to meet the needs of the business.
- Perform other duties as assigned.
- AAPC or AHIMA Coding certification required, with 1+ years hospital coding/ auditing experience i.e., CPC, COC, CIC, CCS-P, CCS
- Understanding of Managed Care, Medicare and Medicaid Billing and reimbursement guidelines
- Understanding of inpatient and outpatient hospital reimbursement methodologies.
- Mathematical skills sufficient to apply the concepts of claim payment methodologies.
- Ability to read and interpret an extensive variety of documents such as claims, instructions, policies and procedures in written (in English) and diagram form.
- Ability to present ideas on complex, detailed issues with ease.
- Ability to define problems, collect data, establish facts and draw valid conclusions.
- Strong team player, with willingness to adapt to changing priorities.
- Commitment to company values.
- High school diploma or equivalent required.
- Working knowledge of Microsoft Office suite (Word, Excel)
- Eagerness to learn new technologies and develop proficiency in internal applications.
- Strong computer navigation skills and experience using multiple software programs simultaneously to complete work.
- Ability to work in Eastern (EST) or Central (CST) time zone.
- Must reside in the United States within one of the states listed below:
- Alabama, Arkansas, Arizona, Connecticut, Delaware, Florida, Georgia, Iowa, Idaho, Illinois, Indiana, Kansas, Kentucky, Louisiana, Massachusetts, Maine, Maryland, Michigan, Minnesota, Missouri, Mississippi, Montana, North Carolina, Nebraska, New Hampshire, New Jersey, New Mexico, Nevada, Ohio, Oklahoma, Oregon, Pennsylvania, Rhode Island, South Carolina, Tennessee, Texas, Utah, Virginia, Wisconsin, and West Virginia.
- A quiet, distraction-free environment to work from in your home.
- A reliable hard-wired private internet connection that is not supplied via cellular data or hotspot is required.
- Home internet with speeds >20 Mbps for downloads and >10 Mbps for uploads.
- The workspace area accommodates all workstation equipment, related materials, and provides adequate surface area to be productive.