Employer Industry: Academic Medical Center

Why consider this job opportunity:
- Salary up to $35.00 per hour
- Opportunity for career advancement and growth within the organization
- Remote work flexibility with rare onsite requirements
- Comprehensive training programs and ongoing compliance education
- Engaging work environment focused on improving patient care and revenue cycle efficiency

What to Expect (Job Responsibilities):
- Perform retrospective coding and documentation review of denied charges for physician services
- Analyze invalid denial trends and payer-specific submission requirements
- Conduct extensive follow-up to investigate and resolve payment denial trends
- Research and interpret payer contract terms, compiling necessary documentation for appeals
- Maintain up-to-date knowledge of policies and procedures related to managed care and third-party payors

What is Required (Qualifications):
- High school diploma or GED in a related field
- Certification as a Certified Professional Coder (CPC) or Certified Coding Specialist (CCS)
- Approximately 3-5 years of physician billing experience, specifically in accounts receivable and collections
- Prior experience working with electronic medical record (eMR) systems
- Knowledge of medical terminology and third-party reimbursement processes

How to Stand Out (Preferred Qualifications):
- Certification from AHIMA or AAPC
- Proficiency in Microsoft Excel and reporting software for account receivable trends analysis
- Strong critical thinking and analytical skills
- Familiarity with CPT and ICD10 CM coding guidelines
- Excellent interpersonal, verbal, and communication skills

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