What are the responsibilities and job description for the Solutionhealth - Claims Editor - EHS Revenue Integrity - Full Time Job at Soluti position at SolutionHealth?
Solutionhealth - Claims Editor - EHS Revenue Integrity - Full Time at SolutionHealth summary :
The Claims Editor at SolutionHealth plays a crucial role in ensuring accurate and compliant coding and billing practices for federal and state funded reimbursements. This position involves reviewing and monitoring charges entered into the electronic medical record, serving as a liaison between departments and handling claim edits to ensure timely reimbursement. The ideal candidate possesses coding credentials and extensive experience in acute care coding, contributing to the overall integrity of the Revenue Integrity team.
Who We Are :
At SolutionHealth our Revenue Integrity team takes great pride it the work that we do. We encourage everyone to work as a team and provide support where needed. If you have great attention to detail, and meet the requirements below, our team encourages you to apply! Join a team, where you can thrive and grow together!
About the Job :
The Claims Editor will support all activities related to federal, state funded and commercial code-based reimbursement to ensure that the hospital follows federal regulations, and that reimbursement is both timely and accurate. The incumbent will review and monitor all charges entered by departments into the electronic medical record for quality and appropriateness; and will function as a liaison between departments, coders, and billers for all charge issues.
What You’ll Do :
- Responsible for monitoring all government related coding and billing practices
Including NCD, LCD / LMRP, OCE and CCI edit management
Who You Are :
Why You’ll Love Us :
Keywords :
Claims Editor, Revenue Integrity, Medical Billing, Coding Compliance, Healthcare Administration, ICD-10, Coding Accuracy, Electronic Medical Records, Epic, Healthcare Reimbursement
