Job Description
Position Overview
We are seeking an experienced Healthcare Billing & Revenue Cycle Specialist for a short-term contract opportunity with a large healthcare organization in Columbus.
This individual will support a specialized billing team by reviewing patient charges, medical records, coding information, and supporting documentation to ensure charges are assigned and processed appropriately.
The ideal candidate will have hands-on experience in medical billing, hospital billing, revenue cycle, coding, or a related healthcare function. This position requires someone who is comfortable digging into patient records, understanding the relationship between services performed and resulting charges, and identifying billing discrepancies.
Key Responsibilities
- Review patient bills, claims, charges, and supporting medical documentation.
- Determine appropriate billing treatment based on services performed and available documentation.
- Review patient charts to validate charges against clinical services and treatments.
- Utilize knowledge of CPT codes, medical billing, clinical procedures, and treatment workflows when evaluating charges.
- Identify billing discrepancies and determine appropriate corrections or next steps.
- Work across electronic medical record and billing systems to research and resolve issues.
- Review detailed reports and work queues to address outstanding billing items.
- Support billing compliance reviews and audits as needed.
- Collaborate with billing, finance, clinical, and operational teams to resolve discrepancies.
- Assist with system updates, process improvements, and other revenue-cycle projects.
- Work independently and apply sound judgment when reviewing clinical and billing documentation.
- Help reduce an existing billing backlog and improve turnaround times.
Required Qualifications
- 2+ years of healthcare experience involving medical billing, hospital billing, revenue cycle, coding, or a closely related function.
- Hands-on experience reviewing medical bills, claims, charges, or coding information.
- Working knowledge of medical billing and how clinical services and procedures translate into charges.
- Familiarity with CPT codes and medical coding concepts.
- Ability to review and interpret patient charts and clinical documentation.
- Strong analytical skills and attention to detail.
- Ability to independently research and resolve billing discrepancies.
- Experience working across multiple healthcare systems, reports, or work queues.
- Ability to work onsite in Columbus three days per week.
Preferred Experience
Experience in any of the following areas is a plus:
- Hospital or health-system revenue cycle
- Medical billing and coding
- Epic or another major electronic medical record system
- CPT codes and chargemaster concepts
- Billing compliance
- Pre-certification, billing review, or denials
- Complex or specialized patient billing
- Medicare billing requirements
- Clinical or research-related healthcare environments
- LPN or RN experience with an understanding of treatment workflows
- CCS or another relevant coding certification
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