PI Medical Coding Reviewer III, CPC, RHIT, RHIA

Role Overview

• Support complex medical record audit programs
• Generate concise in-depth reporting and analysis
• Provide Provider Pre Pay production and progress reports
• Recommend process or procedure changes
• Demonstrate leadership ability
• Coordinate training of claims analyst staff
• Identify knowledge gaps and provide training opportunities
• Serve as primary resource for provider escalation support
• Analyze complex provider claims submissions
• Maintain a working knowledge of all state and federal laws

Requirements

• Associates degree required
• Five (5) years of medical billing and coding experience
• Minimum of three (3) years of SIU/FWA medical billing and coding experience
• Prior experience with claim pre-payment, medical claim and documentation auditing
• Medicaid/Medicare experience required
• Three (3) years of experience in Facets preferred
• Experience with reimbursement methodology (APC, DRG, OPPS) required
• Inpatient coding experience preferred
• Leadership experience preferred

Benefits

• Health insurance
• Retirement plans
• Paid time off
• Flexible work arrangements
• Professional development
• Bonuses