Managing charge reviews and claim edits, the full-time Revenue Integrity Specialist will ensure compliance with billing rules and maximize reimbursement while working remotely. Key responsibilities Manages payor and claim edits related to CCI, OCE, MUE, LCD, and NCD in a compliant manner Tracks and reports on edited accounts and denial appeals, communicating trends to Revenue Cycle leadership Collaborates with clinical departments and revenue cycle leadership to optimize charge capture and compliance Required qualifications High School Diploma or equivalent Two years of billing or revenue cycle experience Knowledge of medical terminology and coding (ICD-10, CPT, HCPCS) Understanding of payer policies and government regulations related to billing Proficiency in Microsoft Excel and reporting tools
Revenue Integrity Specialist in workfromhome at Unknown Company
This position is listed as full time and able to be worked remotely.