Serves as a Charge Generation Tracker (CGT) and regulatory gatekeeper to ensure compliance with coding and billing guidelines. Reviews assigned edits, supports clinical charge capture staff, and acts as a primary resource for providers and administrative teams on coding questions and revenue-enhancement research.
Develops and conducts educational courses and seminars focused on professional documentation, coding, and billing. Monitors regulatory updates, researches payer guidance, performs quality audits, and provides feedback to improve documentation, charge capture, and coding accuracy.
Remote work is not fully remote; on-site work is required based on business need.
Required Qualifications
- Associate's degree
- CPC (Certified Professional Coder) certification
- EPIC Credentialed in Ambulatory within 12 months of hire
- 3-5 years of experience related to professional billing and coding
- Knowledge of CPT/HCPCS codes and third-party reimbursement policies
- Knowledge of billing requirements for Blue Shield, Medicare, Medicaid, commercial insurers, and HMOs/PPOs
- Strong interpersonal, communication, analytical, and presentation skills
- Proficiency with Microsoft Office, reporting, and presentation development
Additional Perks
- Signing bonus may be available, subject to recruiter confirmation
Location
Massachusetts, US
Employment Type
Full-time
Experience Level
Intermediate Level
Salary Range
$64,085 - $115,336
Remote work allowed
Yes
Posted
9 months ago