Virtual Vocations Inc
New York, NY
Providing revenue cycle support services, the full-time Revenue Integrity Coding Billing Specialist will efficiently review and resolve assigned Medicare and third-party payer accounts remotely, focusing on claim edits and denials.
Key responsibilities Resolve daily claims with Revenue Integrity pre-bill edits and specific hold codes in the hospital billing scrubber
Review clinical documentation to validate and apply appropriate ICD-10, CPT, and HCPCS codes
Ensure compliance with Federal/State guidelines and maintain knowledge of Medicare, Medicaid, and third-party payer billing requirements
Required qualifications High School Diploma (relevant experience may substitute formal education)
5+ years of Revenue Integrity experience
AAPC or AHIMA coding certification
Experience in ICD-10, CPT, and HCPCS Level II coding
Proficiency in determining medical necessity based on provider documentation
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