Medical Billing Specialist

Medical Billing Specialist This is NOT a remote position-MUST RESIDE IN MTYour experience matters At Community Medical Center, we are committed to empowering and supporting a diverse and determined workforce who can drive quality, scalability, and significant impact across our hospitals and communities. In your role, you'll support those that are in our facilities who are interfacing and providing care to our patients and community members. We believe that our collective efforts will shape a healthier future for the communities we serve.

How you'll contribute: Responsible for reviewing and maintaining charge description master (CDM), and/other pertinent regulations and policies, ensuring all data elements are accurate and comply with all payor requirements. Excel experience along with medical billing is preferred and a coding background is a plus. Analyzes financial and utilization data to provide decision-making information relating to specific revenue cycle metrics and reimbursement. Reviews and interprets various regulatory billing and coding updates, to remain compliant and accurate to minimize misbilling's. Resolves issues that arise from information submitted and revenue cycle issues. Provides validation reviews, audits, documentation and training for the area of knowledge, sharing information with Finance, Medical Records and other revenue producing areas or departments. Works closely with the lab to ensure all necessary late charges are applied to the accurate account. Perform other duties as assigned.