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Clinical Coding Expert

Lake Cumberland Regional Hospital
Somerset, KY Full Time
POSTED ON 1/29/2025
AVAILABLE BEFORE 2/27/2025

About the Role

We are looking for a skilled RN-Revenue Integrity II to join our team at Lake Cumberland Regional Hospital. The successful candidate will be responsible for conducting routine chart audits, communicating effectively with various departments, and acting as an expert in reimbursement functions.

The ideal candidate will have a strong background in clinical coding and auditing, as well as excellent communication and analytical skills. A minimum of two years' experience in an insurance office or physician's office, or three years of general office experience, is required.

Responsibilities

  • Conducts routine chart audits to identify areas of improvement and ensure accurate billing and reimbursement.
  • Communicates effectively with various departments, including administration, to inform of problematic areas and improvement needs.
  • Serves as an expert in reimbursement functions, including outside audits and coordination.
  • Maintains annual membership with the American Association of Clinical Coders & Auditors (AACCA) and completes re-certification every 2 years.

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