Revenue Cycle Analyst

20 hours ago


Cebu City, Central Visayas, Philippines Health Business Solutions Full time

We are seeking a skilled Coding Auditor to join our team at Health Business Solutions.

The successful candidate will have extensive experience in medical coding and auditing, with a strong understanding of coding standards and regulatory requirements.

Responsibilities:

  • Review and audit medical records to ensure accurate and compliant coding practices.
  • Develop and implement strategies to improve coding accuracy and reduce errors.
  • Collaborate with coding teams and healthcare providers to educate on best practices and regulatory requirements.
  • Prepare detailed audit reports highlighting findings and recommendations for process improvement.
  • Support revenue cycle management by ensuring proper coding for billing and reimbursement.

Requirements:

  • Certifications: Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or similar certification is required.
  • Minimum 2-3 years of medical coding or auditing experience, with expertise in risk adjustment audits, clinical documentation improvement (CDI), and payer audits.
  • Strong knowledge of ICD-10, CPT, and HCPCS coding systems, as well as DRG and E/M coding.
  • Bachelor's degree in Nursing, Medical or Health Information Management, or a related field.


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