Guidehouse
Remote (New York, NY, USA)
Job Family: General Coding Travel Required: None Clearance Required: None This position is fully remote What You Will Do : Under the direction of the Director of Revenue Integrity, the Revenue Integrity Coding Billing Specialist provides revenue cycle support services through efficient review and timely resolution of assigned Medicare and third party payer accounts that are subject to pre-bill claim edits, hospital billing scrubber bill hold edits, and claim denials. This position is 100% remote . Daily duties for this position include: Perform Charge Master Reconciliation audits to ensure departments are following policy and capturing all necessary charges. Incorporating a audit scorecard for charge reconciliation audits Escalate departments noncompliant with policy and provide action plan when needed Responsible for the daily resolution of assigned claims with applicable Revenue Integrity pre-bill edits and/or specific Revenue...