Healthcare Reimbursement Expert
2 days ago
CodeAutomation is seeking a skilled Healthcare Reimbursement Expert to lead our medical coding and billing efforts. The successful candidate will possess expertise in coding systems (ICD-10, CPT, HCPCS) and billing processes, as well as proficiency in medical billing software and electronic health record (EHR) systems.
Main Responsibilities:
- Develop and implement effective coding and billing strategies to optimize reimbursement rates.
- Analyze and resolve claim denials or rejections to minimize financial losses.
- Collaborate with healthcare providers to clarify coding or documentation issues and ensure compliance with industry standards.
- Stay updated on changes to coding standards and insurance policies to maintain optimal reimbursement rates.
- Generate reports related to billing and reimbursement to inform business decisions.
Essential Qualifications:
- Certification in Medical Coding (e.g., CPC, CCS, or equivalent).
- Proficiency in coding systems (ICD-10, CPT, HCPCS) and billing processes.
- Familiarity with medical terminology and insurance regulations.
- Experience with medical billing software and electronic health record (EHR) systems.
- Strong analytical and problem-solving skills.
- Excellent communication and collaboration abilities.
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