Who We Are
At SolutionHealth our Revenue Integrity team takes great pride in 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 GEDCertified coding credentials - CPC, CPC-H, CCS, CCS-P, RHIT, or RHIA, Required.At least three (3) years of acute care coding experience, RequiredThorough knowledge of ICD-10-CM, CPT-4, DRG methodologies and all regulatory requirements associated with coding and DRG assignment, RequiredEpic Experience, PreferredWhy You’ll Love Us
Health, dental, prescription, and vision coverage for full-time & part-time employeesShort term, long term disability, Accident insurance, & life insuranceTuition ReimbursementReferral bonusesAccrued earned time for full-time & part-time employees403b Retirement plans, with generous employer contributionsAnd more!#J-18808-Ljbffr