Specialist Inpatient Coder

Providing revenue cycle support services, the full-time Revenue Integrity Coding Billing Specialist will efficiently review and resolve assigned Medicare and third-party payer accounts remotely, focusing on claim edits and denials. Key responsibilities Resolve daily claims with Revenue Integrity pre-bill edits and specific hold codes in the hospital billing scrubber Review clinical documentation to validate and apply appropriate ICD-10, CPT, and HCPCS codes Ensure compliance with Federal/State guidelines and maintain knowledge of Medicare, Medicaid, and third-party payer billing requirements Required qualifications High School Diploma (relevant experience may substitute formal education) 5+ years of Revenue Integrity experience AAPC or AHIMA coding certification Experience in ICD-10, CPT, and HCPCS Level II coding Proficiency in determining medical necessity based on provider documentation