Job Description
Responsibilities
- Collaborate with billing, reimbursement, and clinical teams
- Review coding and documentation
- Determine reimbursement eligibility
- Apply Medicare and payer guidelines
- Validate ICD-10, CPT, HCPCS coding
- Resolve reimbursement/claim issues
- Support compliance and audits
- Recommend process improvements
Qualifications
- Healthcare‑related bachelor's degree
- CPC certification
- Medical coding/revenue cycle experience
- Knowledge of ICD-10, CPT, HCPCS
- Medicare/commercial payer knowledge
- Claims, reimbursement, and compliance experience
- Infusion/oncology experience preferred
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