Description
Master (CDM) and fee schedules.Conduct audits (prospective and retrospective) to detect errors or omissions.
Perform root cause analysis on denials and revenue variances; implement corrective actions.
Monitor work queues and resolve issues in Epic or other EHR systems.
Ensure compliance with CMS, AMA, CPT, ICD-10, and payer-specific guidelines.
Review CPT updates and coordinate timely implementation.
Prepare reports on audit findings, revenue trends, and reimbursement impact.
Recommend process improvements leveraging data analytics.
Communicate findings and recommendations to leadership through reports and dashboards.
Collaborate with clinical, finance, and IT teams to resolve revenue cycle issues.
Who You Are / Requirements:
Education: High School diploma or equivalent required; Associate degr...