Revenue Cycle Management Specialist - Coding - Remote

Overview

Under the direction of the Director of Revenue Cycle Management, the Revenue Cycle Management (RCM) Specialist- Coding is responsible for the accurate, complete, and timely coding of behavioral health claims. This position involves coding claims for designated payers, auditing the work of other coders, and addressing coding related denials and rejections. The RCM Specialist- Coding must have an in-depth understanding of billing guidelines and compliance requirements for commercial insurance, Medicaid, and Medicare.

In Short

• Assign appropriate ICD-10 and CPT/HCPCS codes to behavioral health claims.
• Conduct audits of coded claims to verify accuracy and adherence to regulations.
• Adhere to established coding guidelines and legal standards.
• Respond to coding related inquiries and contribute to quality assurance.
• Communicate with clinical staff for accurate coding.
• Correct coding errors and resubmit denied claims.
• Provide feedback and training to prevent future coding-related denials.
• Track and document denial trends for internal reporting.
• Collaborate with clinical staff to clarify documentation.
• Strong attention to detail and communication skills required.

Requirements

• Certified Professional Coder (CPC) certification required.
• 2+ years of experience in medical coding, preferably in mental health.
• Extensive knowledge of ICD-10, CPT, and HCPCS coding requirements.
• Strong attention to detail with a focus on accuracy.
• Knowledge of commercial, Medicaid, and Medicare payer requirements.
• Ability to complete coding audits in compliance with guidelines.
• Ability to analyze claims data and suggest strategies.
• Excellent oral and written communication skills.

Benefits

• 100% remote position.
• Work from most states in the USA.
• Monday - Friday work schedule.
• Diverse team and equal opportunity employer.