What you need to know about the position: + The Professional Billing Coding Reimbursement Specialist provides the coding staff with the necessary support for coding guidelines through continuous quality improvement. + This position proactively identifies areas of opportunity to improve coding quality, based on external audit findings, denials, and other platforms and plan coder education accordingly. + This position demonstrates attention to detail, minimizing coding errors, legitimately optimizes reimbursement and ensures accurate billing. + The PB Coding Reimbursement Specialist is responsible for reviewing and appealing all coding related denials. + This position is responsible for acting as a liaison for denial communication between coding and billing teams. + The PB Coding Reimbursement Specialist assists with communicating documentation issues to physicians and clinical departments. + This position accurately applies ICD 10 CM, CPT, HCPCS codes and modifiers utilizing appropriate resources and participates on the denials team. + This position supports the coding production team as needed. + The hourly range for this position is between $24.80 and $37.20, annualized to $51,584 and $77,376. Individual compensation is determined for this position through years of directly relevant experience. The hourly compensation is only a portion of the total rewards package and a comprehensive benefits program is available for qualifying positions. + This full-time position will require you to work flexible shifts, 40 hours a week, Monday through Friday. + The position is 100% remote. What is required for this position: Education and/or Experience + A minimum of 5 years of professional coding experience required + 7 years of coding, auditing and/or denials management preferred + Bachelor's degree in Health Information Management or other healthcare related degree preferred + Strong Epic background preferred + A score of 90% or higher on the Coding Assessment Tool is required for external candidates Certifications, Licenses, Registrations + One of the following is required: + Certified Coding Specialist (CCS) + Certified Professional Coder (CPC) + Registered Health Information Administrator (RHIA) + Registered Health Information Technician (RHIT) + Certified Professional Medical Auditor (CPMA), Certified Documentation Improvement Practitioner (CDIP), or Certified Clinical Documentation Integrity Specialist (CCDS) certification preferred