Entry Level Coder Jobs Remote Jobs in Usa

Position Details

Lakeland Regional Health is a leading medical center located in Central Florida. With a legacy spanning over a century, we have been dedicated to serving our community with excellence in healthcare. As the only Level 2 Trauma center for Polk, Highlands, and Hardee counties, and the second busiest Emergency Department in the US, we are committed to providing high-quality care to our diverse patient population. Our facility is licensed for 892 beds and handles over 200,000 emergency room visits annually, along with 49,000 inpatient admissions, 21,000 surgical cases, 4,000 births, and 101,000 outpatient visits.

Lakeland Regional Health is currently seeking motivated individuals to join our team in various entry-level positions. Whether you're starting your career in healthcare or seeking new opportunities to make a difference, we have roles available across our primary and specialty clinics, urgent care centers, and upcoming standalone Emergency Department. With over 7,000 employees, Lakeland Regional Health offers a supportive work environment where you can thrive and grow professionally.

Active - Benefit Eligible and Accrues Time Off

Work Hours per Biweekly Pay Period: 80.00

Shift: Flexible Hours and/or Flexible Schedule

Location: 210 South Florida Avenue Lakeland, FL

Pay Rate: Min $19.37 Mid $24.22

Position Summary

Under the direction of the Coding and Clinical Documentation Improvement Manager, reviews clinical documentation and diagnostic results, as appropriate, to extract data and apply appropriate ICD-10-CM, CPT, and/or HCPCS codes and modifiers to outpatient encounters for reimbursement and statistical purposes. Communicates with physicians, Physician Advisor or other hospital team members as needed to obtain optimal documentation to meet coding and compliance standards. Abstracts clinical and demographic information in ICD-10 CM, CPT, and HCPCS codes and modifiers into the computerized patient abstract. Participates in ongoing continued education to assure knowledge and compliance with annual changes.

Position Responsibilities

People At The Heart Of All That We Do

• Fosters an inclusive and engaged environment through teamwork and collaboration.
• Ensures patients and families have the best possible experiences across the continuum of care.
• Communicates appropriately with patients, families, team members, and our community in a manner that treasures all people as uniquely created.

Safety And Performance Improvement

• Behaves in a mindful manner focused on self, patient, visitor, and team safety.
• Demonstrates accountability and commitment to quality work.
• Participates actively in process improvement and adoption of standard work.

Stewardship

• Demonstrates responsible use of LRH's resources including people, finances, equipment and facilities.
• Knows and adheres to organizational and department policies and procedures.

Standard Work Duties: Coder II - Outpatient

• Assigns and sequences diagnostic and procedural codes using appropriate classification systems utilizing official coding guidelines. Seeks clarification from healthcare providers or other designated resources to ensure accurate and complete coding
• Abstracts and enters coded data as well as correct surgeon, anesthesiologist and procedure date. Assures appropriate information such as pathology and operative reports are present in the medical record prior to final coding for coding accuracy and appropriate APC assignment.
• Maintains appropriate level of coding and abstracting productivity and quality for outpatient diagnostic, Emergency Department, Family Health Center, ambulatory surgeries, observations, and other recurring services as per established minimum per hour requirement.
• Demonstrates competence in coding and abstracting requirements by maintaining less than 5% error rate for all ICD-10-CM and/or PCS, CPT, and HCPCS codes and modifiers.
• Continuously reviews changes in coding rules and regulations including in Coding Clinic, CPT Assistant, CMS, and other payer guidelines.
• Prioritizes coding functions as directed by the Manager, and organizes job functions and work assignments to efficiently complete tasks within the established time frames.
• Demonstrates knowledge of all equipment and systems/technology necessary to complete duties and responsibilities.
• Works collaboratively with the Discharge Not Final Billed (DNFB) clerks to prioritize workload daily.
• Reviews appropriate outpatient work queues daily to address coding reviews, edits and corrections.
• Reviews appropriate outpatient work queues daily to address coding reviews, edits and corrections.

Competencies & Skills

Essential:

• Computer Experience, especially with computerized encoder products and computer-assisted coding applications.
• Requires critical thinking skills, organizational skills, written and verbal communication skills, decisive judgment, and the ability to work with minimal supervision.
• Knowledge of anatomy and physiology, pharmacology, and medical terminology.

Qualifications & Experience

Essential:

• High School or Equivalent

Nonessential:

• Associate Degree

Essential:

• High School diploma with Associate Degree from accredited HIM program or certificate in coding from an accredited college.

Other information:

Certifications Essential: CCS

Certifications Preferred: Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA).

Experience Essential:

2-5 years acute care hospital outpatient coding experience within the past five years, or 5-7 year's experience in a multi-disciplinary clinic including surgeries and/or Emergency Department coding.

Lakeland Regional Health is a leading medical center located in Central Florida. With a legacy spanning over a century, we have been dedicated to serving our community with excellence in healthcare. As the only Level 2 Trauma center for Polk, Highlands, and Hardee counties, and the second busiest Emergency Department in the US, we are committed to providing high-quality care to our diverse patient population. Our facility is licensed for 910 beds and handles over 200,000 emergency room visits annually, along with 49,000 inpatient admissions, 21,000 surgical cases, 4,000 births, and 101,000 outpatient visits.

Lakeland Regional Health is currently seeking motivated individuals to join our team in various entry-level positions. Whether you're starting your career in healthcare or seeking new opportunities to make a difference, we have roles available across our primary and specialty clinics, urgent care centers, and upcoming standalone Emergency Department. With over 7,000 employees, Lakeland Regional Health offers a supportive work environment where you can thrive and grow professionally.

Work Hours per Biweekly Pay Period: 80.00

Shift: Monday - Friday

Location: 210 South Florida Avenue Lakeland, FL (Remote)

Pay Rate: Min $63,793.60 Mid $79,747.20

Position Summary

Under the direction of the facility Coding and Reimbursement Manager, conducts coding quality reviews and audits of chart documentation to assess accuracy, ensure compliance with federal and payer policies, and identifies areas for improvement for hospital outpatient coding. Develops and delivers training on coding accuracy and compliance, staying updated on regulations and providing expert guidance to coders. Provides ongoing coding education and training to coding team and serves as mentor to all new coding team members. Serves as a subject matter expert and resource for coders, providers, and other staff on coding questions, regulatory changes, and best practice. Prepares reports of findings and meets with coders and Coding Leadership to provide education and training on accurate coding practices and compliance issues.

Has thorough knowledge of acute care facility guidelines, modifiers, sequencing rules and the NCCI (National Correct Coding Initiative) edits, OCE (Outpatient Code Editor) edits, Official Guidelines for Coding and reporting for ICD-10-CM/PCS, CPT-4, and HCPCS coding conventions, APC payment classifications and Medicare Conditions of Participation. Will assist the Coding and Reimbursement Manager on preparing presentations and/or interdepartmental feedback.

Responsible for conducting coding and billing training programs for billing and coding specialists. Other duties will include implementing coding department policies and procedures and assisting with reviewing and appealing coding denials.

People At The Heart Of All That We Do

• Fosters an inclusive and engaged environment through teamwork and collaboration.
• Ensures patients and families have the best possible experiences across the continuum of care.
• Communicates appropriately with patients, families, team members, and our community in a manner that treasures all people as uniquely created.

Safety And Performance Improvement

• Behaves in a mindful manner focused on self, patient, visitor, and team safety.
• Demonstrates accountability and commitment to quality work.
• Participates actively in process improvement and adoption of standard work.

Stewardship

• Demonstrates responsible use of LRH's resources including people, finances, equipment and facilities.
• Knows and adheres to organizational and department policies and procedures.

Standard Work: Outpatient Coding Quality Educator Specialist

• Actively participates in team development, achieving dashboards, and in accomplishing departmental goals and objectives.
• Performs internal quality assessment reviews on outpatient facility coders to ensure compliance with national coding guidelines and the LRH coding policies for complete, accurate and consistent coding which result in appropriate reimbursement and data integrity. Helps to coordinate and direct the day-to-day coding educational activities. Facilitates and provides coding educational classes/presentations to staff, as required/when needed.
• Communicates outcomes to the coding team to improve the accuracy, integrity and quality of patient data, to ensure minimal variation in coding practices and to improve the quality of physician documentation within the body of the medical record to support code assignments. Responsibilities also include assisting Coding Leadership in root cause analysis of coding quality issues, performing account reviews, and preparing training documents to assist with coding quality action plans.
• Assists in the review, improvement of processes, education, troubleshooting and recommend prioritization of issues. Researches coding opportunities and escalates as needed. Communicates Coding topics and/or question trends to Coding Leadership for global education.
• Prepares and presents coding compliance status reports to the Coding and Reimbursement Manager and Health Information Management AVP.
• Assists in ensuring coding staff adherence with coding guidelines and policy. Demonstrates and applies expert level knowledge of medical coding practices and concepts.
• Coaches and mentors coding staff as they develop and grow their coding skills. Provides skilled coding support through regularly scheduled coding meetings and as the need arises. Provide one-on-one coaching and support to coding professionals, offering constructive feedback and guidance to improve coding accuracy and documentation practices.
• Assists Coding Leadership with outpatient coding denials.
• Create educational materials, such as manuals, handouts, and multimedia presentations, that effectively communicate complex coding concepts and guidelines.
• Orients, develops and coordinates on-the-job training of instructing them on systems and policies and procedures in accordance to coding compliance guidelines.

Competencies & Skills

Essential:

• Computer experience especially with computerized encoder applications, computer-assisted-coding applications, spreadsheets, and databases.
• Extensive regulatory coding, (ICD-10-CM, CPT-4, HCPCS, Modifiers, and APCs, and associated reimbursement knowledge. Strong knowledge of medical terminology, pharmacology and anatomy and physiology.
• Data Analysis - able to analyze, interpret and share data in a presentation format. Ability to plan and execute educational programs and presentations.
• Communicates clearly and concisely, verbally and in writing. Able to work effectively with other employees, providers and external parties.
• Requires critical thinking skills, organizational skills, written and verbal communication skills, decisive judgment, and the ability to work with minimal supervision.

Qualifications & Experience

Essential:

• Associate Degree
• Bachelor Degree

Essential:

• Health Information Management or other Healthcare degree

Other information:

Experience essential:

5+ years acute care hospital outpatient coding experience and/or coding auditing

5-10 years of educational experience in a facility or consulting setting.

Certification essential:

CCS, CPC, RHIT, or RHIA

Certification preferred:

RHIA

Position Details

Lakeland Regional Health is a leading medical center located in Central Florida. With a legacy spanning over a century, we have been dedicated to serving our community with excellence in healthcare. As the only Level 2 Trauma center for Polk, Highlands, and Hardee counties, and the second busiest Emergency Department in the US, we are committed to providing high-quality care to our diverse patient population. Our facility is licensed for 910 beds and handles over 200,000 emergency room visits annually, along with 49,000 inpatient admissions, 21,000 surgical cases, 4,000 births, and 101,000 outpatient visits.

Lakeland Regional Health is currently seeking motivated individuals to join our team in various entry-level positions. Whether you're starting your career in healthcare or seeking new opportunities to make a difference, we have roles available across our primary and specialty clinics, urgent care centers, and upcoming standalone Emergency Department. With over 7,000 employees, Lakeland Regional Health offers a supportive work environment where you can thrive and grow professionally.

Work Hours per Biweekly Pay Period: 80.00

Shift:

Location: 1324 Lakeland Hills Blvd Lakeland, FL

Pay Rate: Min $161,200.00 Mid $215,300.80

Position Summary

The Physician Advisor serves as a liaison between the clinical document improvement (CDI) team, which includes hospital coders; members of the Hospital's administration; the Medical Staff of the hospital; and the hospital's Utilization Management to facilitate the development and implementation of clinical documentation improvement initiatives. The Physician Advisor is pivotal in leveraging his or her clinical position to demonstrate the association of care delivery with specificity in documentation. The Physician Advisor is responsible for conducting clinical reviews referred by the Utilization Management, Coding and Clinical Documentation Improvement departments. The Physician Advisor will assist with reviews and appeals of DRG and medical necessity denials.

Position Responsibilities

People At The Heart Of All We Do

• Fosters an inclusive and engaged environment through teamwork and collaboration.
• Ensures patients and families have the best possible experiences across the continuum of care.
• Communicates appropriately with patients, families, team members, and our community in a manner that treasures all people as uniquely created.

Stewardship

• Demonstrates responsible use of LRH's resources including people, finances, equipment and facilities.
• Knows and adheres to organizational and department policies and procedures.

Safety And Performance Improvement

• Behaves in a mindful manner focused on self, patient, visitor, and team safety.
• Demonstrates accountability and commitment to quality work.
• Participates actively in process improvement and adoption of standard work.

Supervisor/Team Lead Capabilities

• Demonstrates accountability for shift/team operations and care/service delivery to support achievement of organizational priorities.
• Coaches front line team members to support ongoing professional development and hardwire technical and professional capabilities.
• Creates a high performing team by building strong relationships, delegating work and nurturing commitment and engagement.
• Manages team conflict/issues implementing appropriate corrective actions, improvement plans and regular performance evaluations.
• Applies change management best practices and standard work to support departmental changes and ensure effective team transition.
• Promotes a healthy and safe culture to advance system, team and service experien

Standard Work: Physician Advisor

• Acts as a liaison between the CDI professionals, Health Information Management, and the hospital's medical staff to facilitate accurate and complete documentation for coding and abstracting of clinical data, capture of severity, acuity and risk of mortality, HCC/risk adjustment in addition to Diagnosis Related Group (DRG) assignment.
• Perform concurrent and retrospective reviews of selected health records as it pertains to CDI and coding validation, and participate in the development of clinically appropriate and compliant provider queries to further clarify documentation.
• Educates individual hospital staff physicians about International Classification of Diseases (ICD) coding guidelines and clinical terminology to improve their understanding of severity, acuity, risk of mortality, HCC/risk adjustment and DRG assignments on their individual patient records.
• Assists with the evaluation and appeal of concurrent and restrospective denials and retrospective DRG downgrades. May perform peer-to-peer meetings as required.
• Participates in the coding and CDI programs and identifies potential areas for improved documentation of services. Also participates in the Coding and CDI meetings and provides ongoing education to the team members.
• Provides peer to peer communication to affect the appropriate response for those cases where the physician fails to respond or questions the need for queries.
• Responsible for writing and submitting appeals (multiple levels as needed) specifically around medical necessity, non-covered services, authorizations, and inpatient/observation stay related denials. May perform peer-to-peer meetings as required.
• The Physician Advisor is pivotal in leveraging his or her clinical position to demonstrate the association of care delivery with specificity in documentation through effective communication and education of the respective parties.
• Provides his or her expert opinion in relation to clinical validity assessments, and, furthermore, the development of clinically robust and appropriate queries.
• Serves as second level reviewer for UM, providing guidance on appropriate/alternate levels of care based on InterQual guidelines and other appropriate criteria.

Competencies & Skills

Essential:

• Broad knowledge base of clinical medicine across all specialties.
• Basic coding guidelines regarding the selection of the principal diagnosis and reporting additional diagnoses and procedures; understanding the DRG system; levels of comorbidities; and concepts of risk adjustment, severity of illness, risk of mortality, case mix index, prospective payment, hospital acquired conditions, patient safety indicators.
• Organize tasks effectively and efficiently and the ability to act independently through the application of critical thinking skills.
• Computer skills appropriate to position
• Excellent written and verbal communication skills.

Qualifications & Experience

Essential:

• Medical Degree

Essential:

• Licensed to practice medicine in the state of Florida, shall be board certified in internal medicine, and shall meet any other reasonable professional criteria established by LRH or the hospital.

Other information:

Experience Essential:

- Minimum of two years of experience in conducting coding and CDI reviews.

- Knowledge of coding guidelines and how it translates from clinical documentation.

- Knowledge of DRGs, Risk of Mortality, Severity of Illness, Mortality Rate, HCC/risk adjustment, CMI and the impact of clinical documentation/coding in relation to these metrics.

- Excellent computer skills with prior exposure to use of Microsoft Office suite

The core responsibility of Pena4’s Client Success division is to ensure clients receive the highest level of service from Pena4. The team focuses on building and maintaining client relationships beginning with implementation, production management, performance metrics, managing the overall client engagement, long-term growth and retention.

Role Overview

The Assistant Vice President of Client Operations (AVP) will lead Pena4’s client operations with respect to all client deliverables including implementation, client services and production. This will be done through well-organized processes/procedures, plans, staffing, metrics, and oversight. This position is a leadership role and is expected to develop, implement and oversee the company’s short-term as well as long term initiatives with respect to delivery of service to clients, client growth, client satisfaction, client retention.

The AVP, Client Operations, is also responsible for providing consulting services and acting as an HIM subject matter expert to existing and new clients. In addition, the AVP must ensure that existing client revenue is achieved and grow each client’s revenue by an established target to be determined annually by senior management.

Key Responsibilities

Provide leadership to the Client Services/Success, Production, and Implementation teams responsible for delivering services to clients and oversee the day-to-day operations of each respective department, in collaboration with the domestic and offshore management teams.

Strategic Management & Leadership

• Participate in strategy planning with leadership team to develop, execute, and manage the company’s long-term goals and revenue targets
• Serve as subject matter expert in the planning, development and implementation of new projects, software applications, business lines, and services
• Develop departmental budgets and revenue budgets and targets for each client.
• o Provide financial oversight and monitoring of budgets to ensure targets are met
• o Monitor revenue for all clients and service lines, prepare variance and projection reports
• o Ensure relevant financial data is presented to the President & COO and leadership team
• Interact regularly with the leadership team and department heads to ensure that operational priorities are aligned with delivery of services to clients
• Partner with all teams to enhance profitability, productivity and efficiency in operations

Client Implementation

• Guide new clients through the implementation process and provide overall support
• Schedule kickoff meetings, create and manage implementation project plans, coordinate development and updating of Account Protocols (volume, workflow diagram, and key processes), determine staff requirements
• Define success criteria and milestones with the client
• Ensure smooth setup and training
• Coordinate setup in internal systems, request access, provide project plan updates, set meeting agendas, capture minutes, and provide status reports
• Implement checks/balances to ensure optimal client operations and ensure new client engagement is live within specified timeframe
• Ensure seamless handoffs from Sales to Client Services and consistent with client expectations and experience

Relationship Management and Client Services

• Manage overall client engagement and serve as the primary point of contact post-sale
• Develop revenue budgets and weekly revenue projection for each client
• Understand client goals and challenges to build trusted, long-term client relationships
• Conduct standing meetings and QBR’s with clients and the leadership team
• Prepare and send meeting agendas, minutes and action items
• Manage the capacity planning along with the production team’s schedules, workloads, TAT, production and utilization
• Manage system access for resources, work with client services and client’s help desk to ensure access is created and working, initiate access removal requests
• Scheduling of resources, and coordination of PTO requests
• Assignment of cases to resources (coding, auditing, and QA) based on pre-existing resource alignments provided by coding management
• Assign Central Learning cases to production coders as needed
• Create service requests and scheduled calendar events in Guru, perform data entry of completed cases and respective time for each coder
• Review and close weekly invoices, address discrepancies with finance and/or client

Value Delivery & Outcome Tracking

• Ensure clients are achieving measurable results
• Monitor all contract deliverables (commitments, volume, value reports, reconciliation of accounts, invoicing, etc.)
• Utilize performance metrics to track and report productivity
• Ensure and measure customer satisfaction

Retention & Churn Prevention

• Proactively address risks to success
• Identify early warning signs of dissatisfaction and resolve issues before they escalate
• Coordinate contract renewals

Customer Escalations & Feedback

• Collect and relay client feedback to SME’s and leadership teams, triage as necessary
• Serve as the primary liaison for customer escalations, coordinating with Coding, Quality, CDI, and Billing leadership to ensure timely responses and resolution
• Document and track all escalations and concerns, maintaining clear visibility across internal teams and ensure consistent communication back to the client
• Facilitate escalation meetings and debriefs with internal stakeholders to align on issue root causes, resolution plans, and customer messaging
• Collaborate with internal teams to build and monitor action plans, ensuring all commitments made to the customer are completed and followed through
• Ensure customer expectations are managed appropriately, including realistic timelines, mitigation steps, and regular updates on progress
• Escalate internal delays or barriers proactively to appropriate leaders to avoid further customer dissatisfaction
• Track post-resolution satisfaction and trends to identify patterns and drive continuous service improvement in partnership with delivery teams
• Represent the client voice internally, influence improvements and roadmap priorities

Growth & Expansion Support

• Develop strategic plans to increase revenue of existing clients (targets to be determined annually based on company goals)
• Identify upsell, cross-sell opportunities, and contract expansions
• Expand horizontal footprint within each client by contacting other departments, building relationships, and gaining interest
• Support clients as their needs evolve and align internal teams around client goals
• Act as consultant and subject matter expert for existing and new clients

Perform additional duties as assigned and assist with other tasks as requested.

Required Skills & Qualifications

Experience:

· Minimum of seven (7) years applied management experience in directing and overseeing client operations within the for-profit revenue cycle consulting industry

· Minimum five (5) years of experience leading offshore teams in India

Education:

· College degree required; graduate degree a plus, preferably Health Information Management or Business Management/Administration

Credentials/Certifications:

· AHIMA, AAPC, or other relevant credentials preferred, but not required, such as RHIA, RHIT, CCS, CPC.

Skills & Knowledge:

• Working knowledge of ICD-10-CM/PCS, CPT, and payment methodologies (DRGs, APCs, etc.), medical coding, medical billing, coding auditing, education, and staffing
• Strong knowledge of HIPAA, and other privacy laws and regulations, and ability to analyze risks and solve compliance challenges
• Excellent customer service, project management, planning, budgeting, reporting, people management, communication, public speaking, and interpersonal skills
• Strong organizational, analytical, and problem-solving abilities and techniques
• Data analytics, cost analysis, and ability to develop business plans
• Strong proficiency in Microsoft Office

Physical Job Requirements

• Ability to travel between office and client locations (international travel when needed)
• Ability to operate standard office equipment for prolonged periods (pc/laptop, phone, keyboard, mouse, monitor, printer/scanner/copier, etc.)
• Ability to perform repetitive hand and wrist motions (typing, data entry)
• Ability to sit extended periods of time, with occasional standing and walking in the office
• Ability to communicate effectively in person, by phone, and via electronic means
• Ability to lift and carry objects typically up to 15 pounds such as files or office supplies
• Ability to maintain focus in a typical office environment with moderate noise levels

Limitations and Disclaimer

The above job description is meant to describe the general nature and level of work being performed; it is not intended to be construed as an exhaustive list of all responsibilities, duties and skills required for the position. This job description in no way states or implies that these are the only duties to be performed by the employee occupying this position. Employees will be required to follow any other job-related instructions and to perform other job-related duties requested by their supervisor in compliance with Federal and State Laws. Requirements are representative of minimum levels of knowledge, skills and/or abilities. To perform this job successfully, the employee must possess the abilities or aptitudes to perform each duty proficiently. Continued employment remains on an “at-will” basis.

All job requirements are subject to possible modification to reasonably accommodate individuals with disabilities. Some requirements may exclude individuals who pose a direct threat or significant risk to the health and safety of themselves or other employees.

Join us to lead transformative initiatives that elevate our client operations while fostering a dynamic, collaborative workplace focused on excellence!

The RCM Specialist II is an individual contributor role on the RCM team, responsible for AR follow-up, posting payments, processing refunds and credits, and auditing accounts accurately. This role supports the full revenue cycle, helping ensure timely resolution of outstanding balances, clean financial records, and a smooth experience for both practices and patients. An ideal candidate has a strong understanding of AR processes, account research, and payer guidelines. They are detail-oriented, analytical, and confident in navigating account-level discrepancies and improving key revenue cycle metrics. 

KEY RESPONSIBILITIES

• Perform all assigned RCM activities in accordance with best practices and internal SOPs.
• Perform AR follow-up to resolve unpaid or underpaid claims, denials, and aged balances through appropriate action (i.e. appeals, corrections, resubmissions, etc.)
• Audit accounts to verify accurate claim submission, payment application, adjustments, and resolution of outstanding balances.
• Review and resolve credit balances; process refunds to insurance and patients in compliance with regulations and internal policies.
• Post all payments – insurance and patient – accurately and in a timely manner, including zero-dollar payments and remittance reconciliations (manual and electronic).
• Apply adjustments and write-offs appropriately based on payer contracts and internal guidelines.
• Work AR aging reports regularly to reduce days in AR and the percentage of AR over 90 days.
• Maintain clear and thorough documentation of account activities, payer interactions, and refund processing steps.
• Collaborate with internal teams (billing, front office) to ensure clean claims and quick resolution of issues.
• Maintain compliance with HIPAA, payer guidelines, and internal policies.
• Participate in team meetings to discuss performance metrics, workflow updates, and process improvements.
• Support RCM management in understanding and self-identifying contributing factors to site-specific RCM KPIs, highlighting areas of concern and areas for improvement. KPIs include but may not be limited to:
• Collection Rate: Monitor and report on the net collection rate, analyzing performance against targets. Collaborate with the team to identify opportunities for improvement. 
• Days in AR: Track and evaluate average days in AR to ensure appropriate advanced collection, payment application, efficient and accurate claim filing, and timely back-end billing and claim resolution. Investigate and address any delays or bottlenecks that may be causing extended days in AR. 
• % AR Over 90 Days: Review and analyze the percentage of AR over 90 days (insurance v. patient) to identify trends or issues requiring attention. Work with the team to reduce the percentage of aged receivables by implementing strategies to resolve outstanding claims and payments. 
• Identify trends in rejections, disputes, payment delays, and denials, and escalate issues for resolution. Always seek the root cause to avoid future issues
• Maintain respect and professionalism in all interactions with internal stakeholders, patients, payers, third parties, and others

• Prior experience in Dental Office workflows, Revenue Cycle functions to include Scheduling, Registration, Insurance verification, fee schedules, claim submission, charging/coding requirements, insurance AR follow up and payment posting process
• Must be knowledgeable of reimbursement/compliance process and procedures with all payors
• Experience with practice management software systems, insurance portals, clearing houses, insurance guidelines, banking reconciliation software, proficient in intermediate PC skills (MS Office—strong excel skills). Strong computer literacy, Excellent Math and problem-solving skills.  Data entry and 10-key by touch.
• Strong interpersonal and organizational skills.  Ability to work within a team setting and as an individual contributor.     Excellent oral and written communication skills
• Responsible for quality work, meeting deadlines, and adherence to Compliance and Revenue cycle standard operating procedures
• Organized work habits, accuracy, and proven attention to detail with strong analytical skills
• Responsible for quality work, meeting deadlines, and adherence to Compliance and Revenue cycle standard operating procedures 
• Certified Professional Coder (CPC) or Certified Revenue Cycle Professional (CRCP) credentials preferred

Compensation details: 22-27 Hourly Wage

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