RCS - CPT Coding Denial Expert
M-F, 40 hrs per week, daytime, Remote. Out of state allowed.
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.
Context and purpose of role
• Position will help address the high volume of denials that are needed to be worked
Must Haves
• AAPC or AHIMA coding certification and membership
Other 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.
About Company
Indiana University Health is Indiana’s most comprehensive health system, with 15 hospitals and nearly 40,000 team members serving Hoosiers across the state. We’re looking for team members 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.Company
- Indiana University Health has nearly 40,000 team members, including more than 3,600 physicians and 1,200 advanced practice providers, and we’re home to the largest nursing network in Indiana with more than 9,000 nursing team members at over 800 sites of care.
- IU Health is ranked No. 1 in Indiana by U.S. News & World Report, Riley Children's Health is ranked among the top children's hospitals in the country by U.S. News & World Report.
- A unique partnership with the Indiana University School of Medicine – one of the nation’s largest medical schools – gives patients access to groundbreaking research and innovative treatments, and it offers team members access to the latest science and the very best training – advancing healthcare for all.
- With 15 hospitals, including seven with Magnet designation and eight with Pathways to Excellence designation, our team members are leading the way through excellence.
- At Indiana University Health, your personal and professional growth is a top priority. You will have access to many diverse opportunities to learn and develop in meaningful ways that matter most to you, such as advanced clinical training, leadership development, promotion opportunities and cross training development.
- Indiana University Health is invested in the lives of Hoosiers, leading the transformation of healthcare to make Indiana one of the nation’s healthiest states.