Job Description
Responsibilities:
- Review coding and documentation
- Determine reimbursement eligibility
- Apply Medicare and payer guidelines
- Validate ICD-10, CPT, HCPCS coding
- Resolve reimbursement/claim issues
- Support compliance and audits
- Collaborate with billing, reimbursement, and clinical teams
- Recommend process improvements
Qualifications:
- Healthcare-related bachelor's degree
- CPC certification
- Medical coding/revenue cycle experience
- Knowledge of ICD-10, CPT, HCPCS
- Medicare/commercial payer knowledge
- Claims, reimbursement, and compliance experience
- Infusion/oncology experience preferred