Job Description
Qualifications:
-4-8 years of experience in healthcare revenue cycle management, with a specific focus on coding and clinical denials, accounts receivable, and team leadership.
-Deep understanding of medical coding (ICD-10, CPT, HCPCS) and clinical denials, payer medical necessity policies, and clinical documentation improvement principles.
-Proven expertise in denial management lifecycle — identification, analysis, appeal management, and prevention of coding and clinical denials.
-Strong knowledge of medical billing processes, insurance claims, clinical documentation requirements, and overall revenue cycle operations.
-Experience interacting effectively with internal stakeholders (coding, clinical teams, and billing), insurance payers, and external audit teams.
-Mandatory Epic system experience.
-Willing to work on a night shift schedule
Responsibilities:
Team Management and Leadership:
-Supervi...