Lead Reimbursement Specialist - Remote

Employer Industry: Healthcare Technology

• Salary up to $168,400 plus bonus eligibility and benefits
• Opportunity for career advancement and growth within the organization
• Flexible remote work environment
• Supportive and collaborative team atmosphere
• Chance to make a significant impact on patient care and provider access to IVS technologies

• Support reimbursement inquiries from sales teams, providers, and customers by delivering accurate coding, coverage, and payment guidance
• Conduct in-depth research on coding, payer policies, and regulatory updates to resolve complex reimbursement questions
• Review and update coding documents to ensure accuracy of CPT, HCPCS, ICD-9, and ICD-10 assignments
• Manage all Coding Hotline and email inquiries, tracking data to identify patterns and opportunities for improvement
  
  Collaborate with providers to troubleshoot and resolve claim issues, including prior authorization, denials, and appeals

• Bachelor’s degree with a minimum of 4 years of relevant experience, or Associate’s degree with a minimum of 8 years, or High school diploma/equivalent with a minimum of 10 years of relevant experience
• Extensive experience providing coding, coverage, and payment guidance in a healthcare environment
• Extensive experience supporting prior authorization, denials, and appeals processes
• Comprehensive knowledge of medical coding guidelines and ability to review operative reports, rejected claims, and EOBs
• Comprehensive knowledge of Medicare, Medicare Advantage, Medigap, and commercial payer methodologies

• CPC (Certified Professional Coder) or CCS-P (Certified Coding Specialist – Physician)

#Healthcare Technology #Remote Work #Career Growth #Coding #Reimbursement Support