Medical Biller and Coder - Los Angeles, United States - Ryzen Solutions
Description
JOB DESCRIPTION
- Analyze complex financial data
- Identify trends in revenue cycle operations
- Summarize data and present reports to leadership
- Serve as liaison with departments to thoroughly define reporting and information requirements
- Evaluate revenue cycle workflows to identify areas for improvement
- Oversee charge integrity, reconciliation, and charge linkages from ancillary charging systems
- Train patient financial services units on revenue cycle systems, processes and procedures
- Maintain compliance with government regulations, reimbursement issues, etc.
- Analyze hospital billing claims within the EHR and claim scrubber system
- Resolve claim errors, edits, and other holds
- Works with clinical and ancillary operational departments on correct coding, billing, and charging principles
QUALIFICATIONS
- Bachelor's degree in business, finance or related field
- CPC-H, CPC, or CCS coding certification
- 5 or more years of experience with hospital billing systems and thirdparty billing requirements
- Experience in revenue integrity operations, clinical charge capture, charge master, or revenue cycle operations
- Proficiency with Microsoft Excel
- Knowledge of Tableau Reporting dashboards
- Understanding of Medicare/Medi-Cal claims processing guidelines
- Experience with EPIC EHR, Cirius Claim Scrubber, or other EHR system
- Indepth knowledge of the practices, procedures, and concepts of the healthcare revenue cycle
- Strong analytical and problemsolving abilities
- Excellent communication, interpersonal, and collaboration skills
- Proficiency in the use of Current Procedural Terminology (CPT), Healthcare Common Procedure Coding System (HCPCS), and revenue codes
Job Types:
Full-time, Contract
Salary:
$ $40.00 per hour
Benefits:
- 401(k)
- Dental insurance
- Health insurance
- Life insurance
- Paid time off
- Vision insurance
Schedule:
- Monday to Friday
Work Location:
In person
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