Claims Editor - Elliot Revenue Integrity - Full Time
Manchester, New Hampshire
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:
This position supports all activities related to Federal, State funded and commercial code-based reimbursement to ensure that the hospital is in compliance with federal regulations and that reimbursement is both timely and accurate. As a Claims Editor you will review and monitor all charges entered by departments into the electronic medical record for quality and appropriateness. Functions as liaison between departments, coders, and billers for all charge issues
What You’ll Do:
- Responsible for monitoring all government related coding and billing practices
- Reviews claims to ensure coding is accurate and in compliance with clean claim edits
- Apply compliant coding/billing practices to resolve claim edits
- Develops and maintains reports which summarize and trend information
- Reports to Coding Manager on progress of identified process improvements
Who You Are:
- High school diploma or GED
- Certified coding credentials - CPC, CPC - H, CCS, CCS-P, RHIT, or RHIA, Required.
- At least three (3) years of acute care coding experience, Required
- Thorough knowledge of ICD-10-CM, CPT-4, DRG methodologies and all regulatory requirements associated with coding and DRG assignment, Required
- Epic Experience, Preferred
Why You’ll Love Us:
- Health, dental, prescription, and vision coverage for full-time & part-time employees
- Short term, long term disability, Accident insurance, & life insurance
- Tuition Reimbursement
- Referral bonuses
- Accrued earned time for full-time & part-time employees
- 403b Retirement plans, with generous employer contributions
- And more!
Work Schedule: Hybrid - Days - M-F - 7:00AM-3:30PM
Elliot Health System is an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, disability status, veteran status, or any other characteristic protected by law.
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Career Development
The Elliot is committed to working with you to develop a rewarding career path that provides many opportunities for learning and growth.
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Living & Working in NH
NH is an economically strong region with a low cost of living, including no state sales or income tax, outstanding schools, and safe and vibrant communities in which to raise a family. We are located less than one hour from Boston, the Seacoast, and the White Mountains. The area is not only known for the premier medical and clinical excellence available but also for vast recreational opportunities for every lifestyle.
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Benefits
As an employee at Elliot Health System you are a valued member of a team that makes a higher level of care happen every day. We believe that you deserve the most affordable and comprehensive benefits we can provide. Please view our comprehensive list of benefits below.
