Job Description
As a Coding Complex Specialist in our Revenue Cycle team, you'll play a vital role in ensuring accurate healthcare reimbursement and data integrity. You'll review, analyze, and validate diagnostic and procedural codes from front-end coding and clinical teams, applying established coding principles to optimize reimbursement while maintaining strict compliance with third-party policies and regulatory guidelines. Your expertise in abstracting detailed information from electronic health records will directly support critical medical research projects, patient care evaluations, and strategic administrative decisions that impact our organization. You'll serve as a trusted data source for the healthcare team, recognizing patterns and trends that drive root-cause analysis, while collaborating with colleagues to elevate coding accuracy across the department. Your attention to detail and strong organizational skills will ensure our patient database remains a reliable foundation for provider-patient continuity, quality care delivery, and operational excellence—all while upholding the highest standards of legal and ethical conduct.
Qualifications
REQUIRED:
PREFERRED:
CORE COMPETENCIES:
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