Job Description


• Partner with cross-functional Revenue Cycle Management (RCM) teams to support clean claim submission and optimal reimbursement across commercial and Medicare-related services, including Evaluation & Management (E&M) services and Annual Wellness Visits (AWVs).
• Manage multiple coding initiatives and daily production work to ensure accuracy, quality, and turnaround-time standards are consistently met.
• Maintain current knowledge of CPT, ICD-10-CM, E&M guidelines, modifier usage, commercial payer policies, and Medicare preventive service requirements.
• Assign accurate diagnosis, procedure, E&M levels, preventive service codes, and applicable modifiers for professional fee encounters.
• Review and resolve coding inquiries, edits, and payer responses within defined service-level expectations.
• Work closely with Revenue Cycle functional teams to identify root causes of errors, implement corrective actions, and improve first-pass payment outcomes.
• Analyze codi...

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