Reno, NV · On-site
$82.30K - $82.80K/yr
Coding and claims edit experience required. License(s): None Certification(s): None Computer / Typing: Must be proficient with Microsoft Office Suite, including Outlook, PowerPoint, Excel, Teams, and ...
Reno, NV · On-site
$82.30K - $82.80K/yr
Coding and claims edit experience required. License(s): None Certification(s): None Computer / Typing: Must be proficient with Microsoft Office Suite, including Outlook, PowerPoint, Excel, Teams, and ...
Reno, NV · On-site
$25.66 - $35.92/hr
Coding and claims edit experience required. License(s): None Certification(s): None Computer / Typing: Must be proficient with Microsoft Office Suite, including Outlook, PowerPoint, Excel, Teams, and ...
Reno, NV · On-site
$25.66 - $35.92/hr
Coding and claims edit experience required. License(s): None Certification(s): None Computer / Typing: Must be proficient with Microsoft Office Suite, including Outlook, PowerPoint, Excel, Teams, and ...
$19.25 - $25.50/hr
Ovation Healthcare seeks an Edit & Denials Coder to review medical records to determine appropriate ... Creates appropriate letters to substantiate the validity of claims. * Meets with facility liaison ...
$19.25 - $25.50/hr
Ovation Healthcare seeks an Edit & Denials Coder to review medical records to determine appropriate ... Creates appropriate letters to substantiate the validity of claims. * Meets with facility liaison ...
$19.25 - $25.50/hr
Ovation Healthcare seeks an Edit & Denials Coder to review medical records to determine appropriate ... Creates appropriate letters to substantiate the validity of claims. * Meets with facility liaison ...
$19.25 - $25.50/hr
Ovation Healthcare seeks an Edit & Denials Coder to review medical records to determine appropriate ... Creates appropriate letters to substantiate the validity of claims. * Meets with facility liaison ...
Reno, NV · On-site
$82.30K - $82.80K/yr
Coding and claims edit experience required. License(s): None Certification(s): None Computer / Typing: Must be proficient with Microsoft Office Suite, including Outlook, PowerPoint, Excel, Teams, and ...
Reno, NV · On-site
$82.30K - $82.80K/yr
Coding and claims edit experience required. License(s): None Certification(s): None Computer / Typing: Must be proficient with Microsoft Office Suite, including Outlook, PowerPoint, Excel, Teams, and ...
$21.36 - $29.90/hr
Troubleshoots problems that prevent claims from being released. Identifies cause of edit and ... Responds to coding information requests and inquiries from various sources. * Consults with ...
$21.36 - $29.90/hr
Troubleshoots problems that prevent claims from being released. Identifies cause of edit and ... Responds to coding information requests and inquiries from various sources. * Consults with ...
Baltimore, MD · On-site
$54.80K - $82.20K/yr
... of clean claims. General oversight includes, but not limited to, supervision of charge entry ... Certified Professional Coder (CPC), preferred. If not a CPC, a strong knowledge of CPT and ICD-10 ...
Baltimore, MD · On-site
$54.80K - $82.20K/yr
... of clean claims. General oversight includes, but not limited to, supervision of charge entry ... Certified Professional Coder (CPC), preferred. If not a CPC, a strong knowledge of CPT and ICD-10 ...
Williston, VT · Remote
$33.23 - $40.67/hr
... coding ... May be assigned to work edit lists for accuracy of claims processing and data reporting. Applies ...
Williston, VT · Remote
$33.23 - $40.67/hr
... coding ... May be assigned to work edit lists for accuracy of claims processing and data reporting. Applies ...
San Antonio, TX · Remote
... edit logic). - Incumbents are expected to meet and/or exceed qualitative and quantitative ... CPT and ICD-10 coding required. - Knowledge of COBRA, HIPAA, pre-existing conditions, and ...
San Antonio, TX · Remote
... edit logic). - Incumbents are expected to meet and/or exceed qualitative and quantitative ... CPT and ICD-10 coding required. - Knowledge of COBRA, HIPAA, pre-existing conditions, and ...
Miami, FL · On-site
... ICD-10 Codes, under the correct provider contract and member benefits. * Responds to provider ... Maintains the department's claim edit rules and processing claims according to client specific ...
Quick apply
Miami, FL · On-site
... ICD-10 Codes, under the correct provider contract and member benefits. * Responds to provider ... Maintains the department's claim edit rules and processing claims according to client specific ...
... edit, and follow up), and review denials for possible corrected claims or appeals. Coder II will work with clinic supervisors and/or providers to resolve coding issues and questions, following ...
... edit, and follow up), and review denials for possible corrected claims or appeals. Coder II will work with clinic supervisors and/or providers to resolve coding issues and questions, following ...
The primary function of the HIM Coder - Professional is to code and charge medical office visits for professional claims. Must be able to review and edit charges in Meditech as well as review ...
The primary function of the HIM Coder - Professional is to code and charge medical office visits for professional claims. Must be able to review and edit charges in Meditech as well as review ...
Portsmouth, OH · On-site
The primary function of the HIM Coder - Professional is to code and charge medical office visits for professional claims. Must be able to review and edit charges in Meditech as well as review ...
Portsmouth, OH · On-site
The primary function of the HIM Coder - Professional is to code and charge medical office visits for professional claims. Must be able to review and edit charges in Meditech as well as review ...
Greenwood Village, CO · Remote
$24.03 - $36.59/hr
... edit, and follow up), and review denials for possible corrected claims or appeals. Coder II will work with clinic supervisors and/or providers to resolve coding issues and questions, following ...
Greenwood Village, CO · Remote
$24.03 - $36.59/hr
... edit, and follow up), and review denials for possible corrected claims or appeals. Coder II will work with clinic supervisors and/or providers to resolve coding issues and questions, following ...
Centennial, CO · Remote
$24.03 - $36.59/hr
... edit, and follow up), and review denials for possible corrected claims or appeals. Coder II will work with clinic supervisors and/or providers to resolve coding issues and questions, following ...
Centennial, CO · Remote
$24.03 - $36.59/hr
... edit, and follow up), and review denials for possible corrected claims or appeals. Coder II will work with clinic supervisors and/or providers to resolve coding issues and questions, following ...
Centennial, CO · On-site +1
$24.03 - $36.59/hr
... edit, and follow up), and review denials for possible corrected claims or appeals. Coder II will work with clinic supervisors and/or providers to resolve coding issues and questions, following ...
Centennial, CO · On-site +1
$24.03 - $36.59/hr
... edit, and follow up), and review denials for possible corrected claims or appeals. Coder II will work with clinic supervisors and/or providers to resolve coding issues and questions, following ...
San Antonio, TX · On-site
... edit logic). * Incumbents are expected to meet and/or exceed qualitative and quantitative ... Knowledge of CPT and ICD-10 coding required. * Knowledge of COBRA, HIPAA, pre-existing conditions ...
San Antonio, TX · On-site
... edit logic). * Incumbents are expected to meet and/or exceed qualitative and quantitative ... Knowledge of CPT and ICD-10 coding required. * Knowledge of COBRA, HIPAA, pre-existing conditions ...
Memphis, TN · On-site
$16.50 - $21.75/hr
Responsible for the daily completion of both claims edit, denial, and no response billing functions ... Knowledge of ICD-9, ICD-10, CPT and HCPCS codes and certification and/or degree in Healthcare ...
Memphis, TN · On-site
$16.50 - $21.75/hr
Responsible for the daily completion of both claims edit, denial, and no response billing functions ... Knowledge of ICD-9, ICD-10, CPT and HCPCS codes and certification and/or degree in Healthcare ...
San Antonio, TX · On-site
... edit logic). * Incumbents are expected to meet and/or exceed qualitative and quantitative ... Knowledge of CPT and ICD-10 coding required. * Knowledge of COBRA, HIPAA, pre-existing conditions ...
San Antonio, TX · On-site
... edit logic). * Incumbents are expected to meet and/or exceed qualitative and quantitative ... Knowledge of CPT and ICD-10 coding required. * Knowledge of COBRA, HIPAA, pre-existing conditions ...
San Antonio, TX · On-site
... edit logic). * Incumbents are expected to meet and/or exceed qualitative and quantitative ... Knowledge of CPT and ICD-10 coding required. * Knowledge of COBRA, HIPAA, pre-existing conditions ...
San Antonio, TX · On-site
... edit logic). * Incumbents are expected to meet and/or exceed qualitative and quantitative ... Knowledge of CPT and ICD-10 coding required. * Knowledge of COBRA, HIPAA, pre-existing conditions ...
$18.33 is the 25th percentile. Wages below this are outliers.
$15.87 - $18.38
26% of jobs
$18.38 - $20.89
9% of jobs
$20.89 - $23.40
12% of jobs
The median wage is $24.66 / hr.
$23.40 - $25.92
9% of jobs
$25.92 - $28.43
11% of jobs
$28.43 - $30.94
5% of jobs
$32.83 is the 75th percentile. Wages above this are outliers.
$30.94 - $33.46
6% of jobs
$33.46 - $35.97
5% of jobs
$35.97 - $38.48
5% of jobs
$38.48 - $41
3% of jobs
$41 - $43.51
10% of jobs
$15
$27
$43
| Aspect | Claims Edit Coder | Claims Processing Specialist |
|---|---|---|
| Certifications | Certified Coding Associate (CCA), CPC | None required, but certifications can be beneficial |
| Work Environment | Healthcare facilities, insurance companies, remote | Insurance companies, healthcare providers, office setting |
| Primary Responsibilities | Review and correct claim data, ensure coding accuracy | Process claims from submission to payment, handle inquiries |
Claims Edit Coders focus on reviewing and correcting claim data to ensure accurate coding, while Claims Processing Specialists handle the overall processing of claims from submission to resolution. Both roles require knowledge of insurance policies and coding, but Claims Edit Coders are more specialized in coding accuracy, whereas Claims Processing Specialists manage broader claim workflows.
$82.30K - $82.80K/yr
Full-time
Posted 11 days ago
7.4
Based on 96 frontline employees who took The Breakroom Quiz
248th of 864 rated healthcare providers
Position Purpose
The Revenue Integrity Specialist is responsible for documenting and supporting the charge capture practices for Renown Health System. The Specialist will support the data gathering for the review and maintenance of the hospital and professional chargemasters, charge documents, and charge capture processes. The Specialist will ensure that claim edits and work queues for Revenue Integrity are worked to resolution to ensure that claims are not held up from billing to maximizing organizational reimbursement. The specialist will perform data gathering for ROIs.
Nature and Scope
The Revenue Integrity Specialist will be responsible to:
A. Track and trend data on late charges, provides weekly and monthly reporting to Renown Health leaders.
B. Track and trend data on late charge root causes, providing weekly and monthly reporting to Revenue Cycle Leadership, as well as Revenue Integrity Coordinators for follow up with clinical departments.
C. Keep an issue log of findings/issues/action plans for the work queues under Specialists’ responsibility
D. D. Identifies, researches, and analyzes charging errors and/or omissions, working collaboratively with
appropriate department staff/team members to ensure that revisions/corrections are made
E. May address routine system issues, referring to non-routine matters to department leaders.
F. Prepares reports, and provides departmental summary information to the health network which is responsible for ensuring that all charges on a system wide basis are being captured and charged appropriately
G. Assists interdepartmental teams in troubleshooting accounts that are being held for billing in edits due to charging/documentation discrepancies
H. Specialists will assist with management and maintenance of SNOW tickets.
I. Interface with IT for maintenance tickets.
This position does not provide patient care
Disclaimer
The foregoing description is not intended to be, and should not be construed as, an exhaustive list of all responsibilities, skills, efforts, or working conditions associated with the job. It is intended to be an accurate reflection of the general nature and level of the job.
Minimum Qualifications
Requirements - Required and/or Preferred
Name
Description
Education:
Ability to read, write, speak, and understand English sufficiently to perform job duties safely and effectively. Bachelor's Degree preferred.
Experience:
Medical terminology experience preferred. Two years in hospital revenue cycle with knowledge of charging practices preferred. Coding and claims edit experience required.
License(s):
None
Certification(s):
None
Computer / Typing:
Must be proficient with Microsoft Office Suite, including Outlook, PowerPoint, Excel, Teams, and Word and have the ability to use the computer to complete online learning requirements for job-specific competencies, access online forms and policies, complete online benefits enrollment, etc.
Computer literacy, including word processing, spreadsheet applications, database management and Microsoft office (Access).
Get the full story on Breakroom
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Renown Health is a leading and respected player in the healthcare industry, based in Reno, NV, US. Established in 1862, the company has a deep-rooted history in providing high-quality healthcare services to the community. Renown Health offers a wide array of services including urgent care centers, lab services, x-ray and imaging services, primary care doctors and specialists. Its central values include excellence in quality and service, caring for people first, being proactive in the community, fiscal responsibility, integrity, and respecting every person.
Health care and social assistance
5,001 - 10,000 Employees
Reno, NV, US
1862
