Certified Medical Coder

6 days ago

Caloocan, Philippines Remote Raven Full time

Overview The Medical Revenue Cycle Manager oversees the entire revenue cycle process—from patient registration and insurance verification to billing, coding, collections, and reimbursement. This role ensures financial viability by optimizing cash flow, reducing claim denials, and maintaining compliance with healthcare regulations. Responsibilities Lead and manage the revenue cycle team, including billing, coding, and collections staff Monitor and improve billing accuracy, referrals/prior authorizations, claim submission, and denial prevention/management Develop and implement strategies to accelerate revenue collection (including precollections) and reduce AR days Collaborate with clinical and administrative departments to streamline workflows, including office visits, testing procedures, and DME Analyze financial reports and present revenue cycle performance to leadership Negotiate with payers on reimbursement issues, fee schedules, and resolution of escalated claims Train and mentor staff on billing software, coding updates, and regulatory changes Conduct internal audits to ensure coding accuracy and billing integrity Maintain up-to-date knowledge of medical coding, payer policies, and industry trends Qualifications 5+ years of experience in outpatient clinic medical billing and revenue cycle management Strong knowledge of Athenahealth EMR/EHR systems, billing software, and reports Certification in medical coding (e.g., CPC, CCS) preferred Excellent leadership, analytical, and communication skills Proven ability to manage teams and drive performance metrics Job Details Rate is $10/hr Full time This is a 100% Remote Job #J-18808-Ljbffr

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