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. This role needs an in-depth understanding of billing guidelines and compliance requirements for commercial insurance, Medicaid, and Medicare.
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USD/year
Monitor and analyze KPIs to identify trends and transform data into actionable reports that support strategic decision-making. Collaborate with leadership to identify improvement opportunities and advance documentation practices. Provide operational and technical guidance to staff and stakeholders, ensuring clarity in documentation and coding processes. Review clinical documentation to ensure accurate assignment of codes in alignment with organizational initiatives.