Responsibilities

• Review coding and documentation
• Determine reimbursement eligibility
• Apply Medicare and payer guidelines
• Validate ICD-10, CPT, HCPCS coding
• Resolve reimbursement/claim issues
• Support compliance and audits
• Collaborate with billing, reimbursement, and clinical teams
• Recommend process improvements

Qualifications

• Healthcare-related bachelor's degree
• CPC certification
• Medical coding/revenue cycle experience
• Knowledge of ICD-10, CPT, HCPCS
• Medicare/commercial payer knowledge
• Claims, reimbursement, and compliance experience
• Infusion/oncology experience preferred