Revenue Cycle Coding Specialist Job at PAINEX SOLUTIONS, LLC, Grand Rapids, MI

cWlHZ0lFb0MzRWRQWUcvY3J2K25ZVUgw
  • PAINEX SOLUTIONS, LLC
  • Grand Rapids, MI

Job Description

Job Summary:
We are seeking a detail-oriented and experienced Revenue Cycle Coding Specialist to join our team. This role is responsible for accurate charge entry, medical coding, and ensuring compliance with coding regulations to optimize reimbursement and minimize claim denials.

Key Responsibilities:
  • Assign accurate ICD-10, CPT, and HCPCS codes to medical services and procedures.
  • Enter charges and ensure proper documentation for billing purposes.
  • Review clinical documentation to verify coding accuracy and completeness.
  • Ensure compliance with federal, state, and payer-specific coding guidelines.
  • Work collaboratively with providers and billing teams to resolve coding discrepancies.
  • Submit claims accurately and timely to insurance providers.
  • Monitor and address coding-related claim denials or rejections.
  • Assist with audits and quality improvement initiatives related to coding.
Qualifications:
  • High school diploma or equivalent required; associate’s or bachelor’s degree in healthcare administration, finance, or related field preferred.
  • Minimum of 2 years of experience in medical coding and charge entry.
  • Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or equivalent certification preferred.
  • Strong knowledge of ICD-10, CPT, and HCPCS coding guidelines.
  • Proficiency in electronic health records (EHR) and billing software.
  • Excellent attention to detail and problem-solving skills.
  • Strong communication and collaboration skills.
  • Ability to work independently and manage multiple tasks efficiently.
Preferred Qualifications:
  • Experience with Medicare and Medicaid billing.
  • Familiarity with managed care and commercial insurance plans.
Work Environment:
This position may be based in an office, healthcare facility, or remote setting, depending on organizational needs. Standard work hours apply, with occasional overtime as necessary to meet deadlines.

 

Job Tags

Similar Jobs

Recom

Jr. Ecommerce Manager Job at Recom

 ...is backed by Topspin Consumer Partners ( a private equity firm based in New York. Role Description As a customer-facing Jr. Ecommerce Manager, you will be one of the main liaisons between our brand partners and internal functions, ensuring seamless communication and... 

US Foods, Inc.

CDL A Truck Driver Job at US Foods, Inc.

 ...insurance Paid Time Off, Strong Safety Culture, and Excellent Local Leadership! Main Ingredients of the Job Safely drive trucks to customers and meet scheduled customer delivery times Carefully unload products from the trailer with a two-wheeler, pallet... 

SEEK Careers Staffing

Laborer Job at SEEK Careers Staffing

 ...Laborer Need a side gig for some extra cash? Our Wrightstown client is looking for help during the day on an as needed basis. Position Laborer Job Location Wrightstown Starting Date ASAP Employment Term Part time Employment Type Contract... 

In House Jobs | JDHuntr

In House Counsel Jobs New York | JDHuntr 37298 Associate, Criminal Justice Reform Program, Litigatio Job at In House Jobs | JDHuntr

In House Counsel Jobs New York | JDHuntr 37298 Associate, Criminal Justice Reform Program, Litigation, San Francisco, CA\ To apply go to JDHuntr.com \ Assisting on grantee check-in calls and helping the team assess how grants are going. Attending convenings, strategy... 

Dalwadi Hospitality Management

Asistente de habitación / Servicio de limpieza Job at Dalwadi Hospitality Management

 ...Los asistentes de habitaciones son responsables de la limpieza del hotel, incluidas las habitaciones, los pasillos y todas las reas pblicas del hotel,...  ...A continuacin se reflejan las tareas esenciales del trabajo, pero no se restringen las tareas adicionales que se...