Essential Functions

Reviews and studies all information from third-party payors on claims filing, coding, and the adjudication process.

Studies, reports, and makes recommendations regarding compliance concerns.

Analyzes revenue and reimbursement data to maximize financial improvement opportunities.

Serves as a revenue cycle subject matter expert and identifies root cause of revenue leakage.Collaborates with clinical staff and IAS regarding charging functionality

Identifies charging opportunities by analyzing current processes and preparing relevant reports regarding trends

Optimizes reimbursement by reviewing and coordinating with clinical staff and deliver recommendations for improvement.

Physical Requirements
May Lift and move reports and notebooks weighing up to ten pounds. Ability to work under pressure to meet deadlines. Majority of day is spent sitting.

Education, Experience and Certifications

High School Diploma or GED required. CPC or CCS certification and at least 4 years ICD-9 and CPT coding experience preferred. Experience with or exposure to Epic/Encompass billing system (chargemaster specific) and Epic CDM Certification preferred.