Support Services role in Miamisburg, OH focused on revenue integrity, charge capture, and charge description master (CDM) maintenance for a large healthcare system.
Responsibilities include reviewing and resolving claim edits in work queues, applying coding corrections or modifiers, auditing denied or held claims, and supporting charge master updates based on trend analysis. The role also involves collaborating with clinical teams and coders, tracking recurring edit trends, and helping optimize reimbursement and charge capture.
Requirements & Qualifications
- CPC, CCS, or other recognized medical coding certification required
- 2–5+ years of experience in revenue cycle, HIM, PFS/billing, charge capture, or coding/edit resolution
- Knowledge of healthcare revenue cycle processes
- Knowledge of regulatory and governing body coding and billing guidelines
- Ability to navigate Epic EMR and chart audit supporting charge documentation
- Proficiency with Microsoft Office data entry
- Strong interpersonal, team-building, and analytical skills
- Ability to work with minimal direction and prioritize work effectively
- Experience resolving CCI, MUE, OCE, and EAPG edits
- Proficiency with Epic or other major EHR/billing scrubber systems
- Strong attention to detail and familiarity with payer billing regulations
- Preferred: RHIT or RHIA
- Preferred: acute outpatient hospital coding experience
- Preferred: AHIMA and/or AAPC membership
Location
Ohio, US
Employment Type
Full-time
Experience Level
Intermediate Level
Remote work allowed
No
Posted
1 week ago