Billing and Coding Specialist

🔥 0 minutes ago

🏈 Alabama, Connecticut, +26 more states – Remote

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⏰ Full Time

🟢 Junior

🏥 Medical Billing and Coding

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Revecore

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

🏥 Healthcare

☁️ SaaS

🤝 B2B

Healthcare • SaaS • B2B

Revecore is a healthcare revenue recovery company that combines proprietary AI, claims intelligence, workflow automation, and clinical, legal, and reimbursement expertise to identify and recover missed revenue for hospitals and health systems. Their ReClaim™ platform and network intelligence use machine-learning models and payor rule engines trained on hundreds of millions of claims to automate decisioning, prioritize recoveries, manage complex claims (VA, auto accidents, workers' compensation, Medicaid), denials management, underpayment recovery, and accounts receivable acceleration. Revecore operates HIPAA-compliant, SOC 2-certified infrastructure and serves over 1,300 hospitals, emphasizing outcomes like increased reimbursement, faster reimbursement, and high denial overturn rates.

📋 Description

• Support internal and external customers by providing accurate and timely responses to coding and billing questions • Perform retrospective coding and billing reviews on outpatient hospital claims • Assist with outpatient claims • Provide correction recommendations to internal associates or clients, supported by coding, industry-standard billing, or payer-specific guidelines • Research and stay current on coding guideline and payer-specific billing guideline changes for commercial and government payers • Comprehend payment methodologies and their application to billing and coding scenarios • Build strong, lasting relationships with Revecore personnel • Attend department and company meetings as required • Comply with federal and state laws and company and department policies and procedures • Assist with related responsibilities to meet business needs • Perform other duties as assigned

🎯 Requirements

• AAPC or AHIMA Coding certification required, such as CPC, COC, CIC, CCS-P, or CCS • 1+ years of hospital coding or auditing experience • Understanding of Managed Care, Medicare, and Medicaid billing and reimbursement guidelines • Understanding of inpatient and outpatient hospital reimbursement methodologies • Mathematical skills sufficient to apply claim payment methodology concepts • Ability to read and interpret claims, instructions, policies, procedures, and diagrams in English • Ability to present ideas on complex, detailed issues • Ability to define problems, collect data, establish facts, and draw valid conclusions • Strong team player willing to adapt to changing priorities • Commitment to company values • High school diploma or equivalent required • Working knowledge of Microsoft Office Suite, including Word and Excel • Eagerness to learn new technologies and develop proficiency in internal applications • Strong computer navigation skills • Experience using multiple software programs simultaneously • Quiet, distraction-free home work environment • Reliable private hard-wired internet connection; cellular data or hotspot connections are not permitted • Home internet speeds exceeding 20 Mbps download and 10 Mbps upload • Workspace accommodating workstation equipment and related materials • Must reside in an approved United States state listed in the posting • Employment eligibility in the United States • Successful employment-history verification and background check

🏖️ Benefits

• Comprehensive health coverage • 401(k) match • Paid training • Generous PTO • Paid holidays • Learning and development opportunities • Internal opportunities • Remote work from home