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US

  • Perform daily revenue integrity audits and charge reconciliation.
  • Monitor patient board and review census and discharges.
  • Collaborate with care providers to resolve missing documentation.

Coding Billing Medical Terminology Microsoft Office

20 jobs similar to ED Revenue Integrity Specialist II

Jobs ranked by similarity.

$52,519–$70,915/hr
US

  • Abstracts and codes physician professional services and diagnosis codes.
  • Trains physicians and other staff regarding documentation, billing and coding.
  • Ensures charges are captured by performing various reconciliations.

At Northwestern Medicine, every patient interaction makes a difference in cultivating a positive workplace.

US

  • Performs Current Procedural Terminology (CPT) and International Classification of Diseases coding.
  • Acts as a key collaborator with Providers and Clinical areas to ensure the medical record accurately reflects the patient's service.
  • Trains physicians and other staff regarding documentation, billing and coding.

At Northwestern Medicine, every patient interaction makes a difference in cultivating a positive workplace.

In this role, you’ll ensure the accurate coding of medical procedures and diagnoses across our diverse range of services including inpatient, outpatient, ambulatory, and specialty care. You’ll play a key role in supporting compliance, optimizing reimbursements, and ensuring all documentation aligns with federal and state regulations.

Diana Health is a network of modern women’s health practices working in partnership with hospitals to reimagine the maternity and women’s healthcare experience.

US

  • Conduct thorough audits of medical records and coding practices.
  • Develop and deliver educational programs on coding best practices.
  • Collaborate with billing, clinical, and revenue cycle teams.

Jobgether is a Talent Matching Platform that partners with companies worldwide to efficiently connect top talent with the right opportunities through AI-driven job matching.

  • Perform inpatient coding audits and review services remotely.
  • Identify coding trends and recommend corrective actions.
  • Provide in-service education to clients on coding trends.

UASI helps healthcare organizations with coding and auditing services. They have been recognized as a Top Workplace by the Cincinnati Enquirer in 2022, 2023 and 2024 and pride themselves on stability and long-term success.

$67,558–$97,968/hr
US

  • Creates and delivers education to the Coding Team, Clinical Documentation Nurses, Physicians, and other licensed providers to improve the quality of documentation.
  • Collaborates with the CMOs to ensure the integrity of the Health Record is established through best practices in Clinical Documentation and Coding.
  • Analyzes dashboard and audit data to derive conclusions and construct action plans.

At Northwestern Medicine, every patient interaction makes a difference in cultivating a positive workplace.

US

  • Multi-task position covering main functions of the Central Business Office.
  • Accurately handle at least one unit function of the Central Business Office.
  • Monitor billing errors and claim/line item rejections.

Piedmont Healthcare is a company in the healthcare sector, though further details are not given in the job description.

$52,000–$52,000/hr
US 0w PTO

  • Oversee the end-to-end billing process.
  • Maintain comprehensive billing records, monitor and report key performance indicators related to claims submission, denial resolution, and payment posting.
  • Serve as the primary point of contact for internal teams and external payers.

Apollo Behavior is the premier provider of ABA therapy in metro Atlanta, and the largest ABA provider based in Georgia.

  • Conduct comprehensive coding reviews to ensure accuracy in code assignment and reimbursement.
  • Apply expert knowledge of coding guidelines and utilize industry-leading tools to maximize overpayment identifications.
  • Craft clear, concise, and well-supported audit findings, backed by AHA Coding Clinic Guidelines and ICD-10-CM/PCS regulations.

Cohere Health's clinical intelligence platform delivers AI-powered solutions that streamline access to quality care by improving payer-provider collaboration, cost containment, and healthcare economics. The Coherenauts who succeed here are empathetic and believe diverse, inclusive teams make the most impactful work.

US

  • Manages, coordinates, and implements the Charge Description Master (CDM).
  • Performs analysis of ACD requests and determines appropriateness.
  • Conducts annual review of charge master and quarterly updates.

Riverside Health System's mission is to care for others as we would care for those we love and offers care at all stages of life, in hundreds of locations.

US

  • Accurately assigns and sequences ICD-10-CM and CPT-4 codes for various patient visits.
  • Interacts with physicians to clarify/verify questions and resolve coding/documentation issues.
  • Conducts internal coding studies and/or provides resource information to other departments.

Cooper University Health Care is an integrated healthcare delivery system serving residents and visitors throughout Cape May County. They are committed to providing competitive rates, compensation programs and comprehensive employee benefits.

US

Responsible for daily accounts receivable collections and billing. Assist with increasing collections, reducing accounts receivable days, and reducing bad debt. Partners with the field to ensure appropriate and timely revenue and collections.

US 5w PTO

  • Process transactions on insurance accounts and interact with insurance companies.
  • Communicate with staff and third-party customers to ensure accurate processing.
  • Prioritize accounts to maximize aged AR resolution, and research documentation.

Oregon Health & Science University values a diverse and culturally competent workforce. They are proud of their commitment to being an equal opportunity, affirmative action organization that does not discriminate against applicants on the basis of any protected class status, including disability status and protected veteran status.

US

  • Accurately abstracts information and assigns appropriate CPT, ICD-9/10, and HCPCS codes.
  • Communicates professionally with providers, practice management, and other stake holders.
  • Identifies trends and educational opportunities to ensure proper coding, documentation, and accuracy of billing.

UofL Health is a fully integrated regional academic health system. With more than 14,000 team members, they are focused on one mission: to transform the health of communities they serve through compassionate, innovative, patient-centered care.

$60,243–$91,083/yr

As a Coder II, you will review and process complex specialty clinic professional charges for Dignity Health Medical Foundation. Codes complex office, surgical and hospital professional charges for assigned providers Provide education to physicians and providers on coding and documentation, as needed.

Dignity Health Medical Foundation, established in 1993, is a California nonprofit public benefit corporation with care centers throughout California.

US

In this position, you will be responsible for handling a variety of tasks to ensure payment collection activity is resolved, disputed, or sent to Legal. Conduct collection activity on appealed claims by contacting government agencies, third party payers via phone, email, or online. Communicate with insurance plans and researching health plans for benefits and types of coverage.

Sutherland is a digital transformation company helping customers globally achieve greater agility and transform automated customer experiences for over 35 years.

  • Perform coding audits and reviews on a variety of professional fee record types.
  • Perform necessary research in order to provide the client with supportive regulatory and coding guideline documentation.
  • Assist in the design and presentation of educational seminars to clients and staff.

UASI has over 40 years of experience and enduring partnerships with our valued clients, and is proud of the stability they’ve built and the long-term success of their dedicated team.

US

  • Ensure adherence to payer requirements and internal compliance standards.
  • Support audit readiness, reduce denials, and improve claim resolution.
  • Maintain payer setup and readiness including fee schedules.

Expressable is a virtual speech therapy practice on a mission to transform care delivery and expand access to high-quality services, serving thousands of clients.

US

  • Apply coding classification standards and guidelines to medical record documentation for accurate coding.
  • Submit necessary provider queries to resolve documentation discrepancies.
  • Abstract and assigns the appropriate ICD-10-CM and CPT codes for all diagnoses and procedures performed in the outpatient and surgical settings as applicable.

Ovation Healthcare partners with 375+ hospitals and health systems across 47 states. For 45+ years, Ovation Healthcare has supported hospitals and health systems through a portfolio of shared services designed to provide scale and efficiency to hospital business operations.

$54,080–$68,640/hr
US

The Insurance Reimbursement Specialist maximizes reimbursement by collecting outstanding balances from insurance companies. The Specialist follows up on unresolved claims and escalates claims for reconsiderations. The Specialist works with CareDx Payer Dispute Resolution/Market Access teams ensuring proper reimbursement from payers.

CareDx, Inc. is focused on the discovery, development, and commercialization of clinically differentiated, high-value healthcare solutions for transplant patients.