Lead Reimbursement Specialist - Remote

Employer Industry: Medical Technology

• Salary up to $168,400 plus bonus eligibility and benefits
• Opportunity for career advancement and growth within the organization
• Work remotely with flexible arrangements
• Supportive and collaborative work environment
• Chance to make a positive impact on patient care by ensuring accurate reimbursement guidance

• 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 maintain accuracy of CPT, HCPCS, ICD-9, and ICD-10 assignments
• Manage Coding Hotline and email inquiries, tracking contact 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 and minimum 4 years of relevant experience, or Associate’s degree and minimum 8 years of relevant experience, or High school diploma/equivalent and minimum 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)

#Medical Technology #Healthcare Careers #Remote Work #Career Growth #Coding Guidance

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