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The Revenue Integrity Coding Specialist will be primarily responsible for managing revenue integrity daily reporting impacting coding, charge capture edits and denials in EPIC. Identifies edit trends and collaborate within revenue cycle, clinical, IT and compliance teams to implement solution. Review inquiries associated with ICD-10 and HCPCS/CPT code assignment, medical necessity, abstracted data or any other component associated with coded data that may impact the revenue cycle or data analytics. Works with the pre-AR edit team to take appropriate action to resolve the issues and communicate to the revenue cycle departments when changes need to be made. The Revenue Integrity Coding Specialist ensures a consistent charge capture and billing to promote optimal reimbursement by applying appropriate management of coding edits in a timely fashion, coordinating efforts with other areas in the revenue cycle and clinical areas and analyzing the impact of coding changes. Required: High School Diploma or GED Certification Certified Professional Coder - CPC or Certified Coding Specialist Physician - CCS-P Work Experience and Additional Information Minimum of four (4) years' experience in related healthcare field, such as coding, provider billing, medical records, charge audit environment or revenue cycle, required. At least two (2) years experience should be coding in a healthcare provider setting. Coders are held to high standard, best practices are to achieve a greater than 95% accuracy rate during coding assessments. Technical Knowledge, Skills, and Abilities · Knowledge of CPT, ICD-10 and HCPCS coding systems, conventions and guidelines, National and Local Coverage Determinations, and encoder products. · Knowledge of medical terminology and reimbursement methodologies. · Proficiency with financial data with billing and reimbursement related experience. · Excellent computer proficiency skills (MS Office - Word, Excel and Outlook). · Strong attention to detail and exceptional follow up skills. · Excellent verbal and written communication skills, including ability to effectively communicate with internal and external departments. · Organizational, interpersonal, written and verbal communication skills. · Must be able to work under pressure and meet deadlines, while maintaining a positive attitude and providing exemplary customer service. · Ability to work independently and to carry out assignments to completion within parameters of instructions given, prescribed routines, and standard accepted practices. · Demonstrated flexibility to perform other tasks as needed in an active work environment with changing work needs. · Self-motivated to work independently and work as a team member.

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