Senior Professional, Certified Coding Integrity

The Senior Certified Coding Integrity Professional is responsible for all aspects of the coding and billing of inpatient and outpatient claims, as well as the CCM billing process. This role involves managing claims submission, audits, inquiries, and collaboration with clinical and insurance teams to ensure accurate coding, timely reimbursement, and adherence to compliance regulations. The position focuses on maximizing revenue by clarifying coding issues and supporting process improvements.

Requirements

• Perform accurate and timely multi-specialty coding.
• Prepare and submit claims to third-party payers.
• Perform audits of the daily billing summary.
• Respond to account inquiries from patients, third-party payers, and staff.