Support Services Miamisburg Full-Time First Shift

Responsibilities & Requirements

Job Requirements

Coding certification CPC-Certified Professional Coder or - Certified Coding Specialist required (external candidates holding, internal candidates with relevant experience certification required 18 months)
2–5+ years in revenue cycle (e.g. HIM, PFS/Billing, CDM), charge capture, or coding/edit resolution.
CCS or CPC coding certification required.
Consideration for other recognized medical coding certifications may be considered with Director approval.

Job Responsibilities

Knowledge of healthcare revenue cycle processes in assigned area/department
Knowledge of regulatory and governing body coding and billing guidelines
Ability to navigate Epic EMR & chart auditing for supporting charge related documentation
Proficient in data entry using Microsoft Office Suite products
Possess strong interpersonal, team building, and analytical skills
Ability to work with minimal direction
Ability to prioritize
Experience resolving CCI, MUE, OCE, EAPG edits
Proficiency in Epic or other major EHR/billing scrubbers
Strong analytical skills, attention to detail, and familiarity with payer billing regulations
Review and resolve claim edits in work queues using Epic or billing scrubber systems
Apply coding corrections or modifiers in response to CCI, MUE, OCE, and EAPG rejections
Consult documentation and coding guidelines (ICD 10, CPT, HCPCS), adjust charges as required
Reach out to clinical teams or coders to confirm documentation and corrections
Track trends in edits and provide feedback or training to prevent recurring issues
Support revenue integrity by auditing denied or held claims and optimizing charge capture
Assist with charge master/CDM maintenance and updates based on trend analysis
Performs other duties as assigned

Preferred Qualifications