SolutionHealth is hiring : Claims Editor - Elliot Revenue Integrity - Full Time i

Claims Editor - Elliot Revenue Integrity - Full Time page is loaded## Claims Editor - Elliot Revenue Integrity - Full Timelocations : Manchester, NHtime type : Full timeposted on : Posted Yesterdayjob requisition id : JR9250Come work at the best place to give and receive care!

• Job Description :
• Who We Are :
• At SolutionHealth our Revenue Integrity team takes great pride it the work that we do. We encourage everyone to work as a team and provide support where needed. If you have great attention to detail, and meet the requirements below, our team encourages you to apply! Join a team, where you can thrive and grow together!
• About the Job :
• This position supports all activities related to Federal, State funded and commercial code-based reimbursement to ensure that the hospital is in compliance with federal regulations and that reimbursement is both timely and accurate. As a Claims Editor you will review and monitor all charges entered by departments into the electronic medical record for quality and appropriateness. Functions as liaison between departments, coders, and billers for all charge issues
• What You’ll Do :
• Responsible for monitoring all government related coding and billing practices
• Reviews claims to ensure coding is accurate and in compliance with clean claim edits
• Apply compliant coding / billing practices to resolve claim edits
• Develops and maintains reports which summarize and trend information
• Reports to Coding Manager on progress of identified process improvements
• Who You Are :
• High school diploma or GED
• Certified coding credentials - CPC, CPC - H, CCS, CCS-P, RHIT, or RHIA, Required.
• At least three (3) years of acute care coding experience, Required
• Thorough knowledge of ICD-10-CM, CPT-4, DRG methodologies and all regulatory requirements associated with coding and DRG assignment, Required
• Epic Experience, Preferred
• Why You’ll Love Us :
• Health, dental, prescription, and vision coverage for full-time & part-time employees
• Short term, long term disability, Accident insurance, & life insurance
• Tuition Reimbursement
• Referral bonuses
• Accrued earned time for full-time & part-time employees
• 403b Retirement plans, with generous employer contributions
• And more!
• Required Certifications :
• CERT CODING SPECIALIST - External
• Required Education :
• Work Shift :
• Hybrid - Days - M-F - 7 : 00AM-3 : 30PM
• SolutionHealth is an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, disability status, veteran status, or any other characteristic protected by law.

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