Revenue Integrity Billing and Coding Analyst
Community Medical Center · Falls City, NE · 1 mo ago
On-siteAccountingFull-time
Core Responsibilities
- Epic Claim Edit Resolution: Analyze and resolve pre-bill holds, CCI edits, and medical necessity errors within the Epic billing system.
- Charge Capture & Auditing: Audit clinical documentation to ensure accurate CPT, HCPCS, and ICD-10 code assignment.
- Denial Management: Identify root causes of claim denials and collaborate with billing teams to implement corrective actions.
- Cross-Functional Collaboration: Partner with clinical departments to provide education on documentation improvements and charging workflows.
Qualifications & Requirements
- Residency: Must be a current resident of Nebraska (Required to be considered for the hybrid or remote position).
- Technical Skills: Proficiency with the Epic EHR platform is desired.
- Experience: Minimum of 3–5 years of experience in healthcare medical billing, coding, and revenue integrity.
- Certifications: Active credential from AAPC (e.g., CPC, COC) or AHIMA (e.g., CCS, RHIA, RHIT) is highly preferred but not required.
- Attributes: Deep understanding of Medicare/Medicaid reimbursement methodologies, strong analytical skills, and ability to work independently and effectively.
Benefits
- Retirement Plan
- Employee Assistance Program
- Long Term Disability
- Life Insurance
- Dental insurance
- Health insurance
- Paid time off
- Training & development
- Vision insurance
- Wellness resources