Emergency Medicine Billing Specialist
Core
Lead the development, analysis, and implementation of strategic and operational plans to optimize the effectiveness of the Department of Emergency Medicine revenue cycle systems and operational performance.
Role type
Senior revenue cycle operational consultant and subject matter expert in emergency medicine coding and billing
Builds
Efficient systems for processing Point of Care Ultrasound (POCUS) coding and billing for facility and professional services
Domain
Healthcare / Emergency Medicine / Revenue Cycle Management
Deliverable
production ML models | product features | dashboards & analysis | research | client delivery | infrastructure | physical/clinical work
Required skills
ICD10 coding principles, CPT coding principles, emergency medicine documentation analysis, process improvement design, quality assurance for coding compliance, liaison management with providers and coding groups, educational session development, RVU capture optimization, report production for coding queues
Preferred skills
Registered Health Information Administrator (RHIA) credential, Registered Health Information Technician (RHIT) credential, AAPC Medical Coding Specialty Credential, specialty coding certification
Technologies
MS4, NextGen, RCx, Cerner, abstracting systems, common office software
Responsibilities
Analyze, design, and implement efficient systems for POCUS coding and billing; review and resolve complex billing issues and anomalies from daily coding hold lists; act as liaison between emergency department providers and specialty third-party coding leadership; develop and implement onboarding and educational sessions for providers on compliant documentation; serve as a revenue cycle operational consultant to educate physicians on effective practices to capture RVUs; produce regular reports analyzing coding queues and reconciliation of visits seen versus billed; act as a knowledge resource for clinical staff on billing code issues
Seniority
Senior, hands-on IC with strategic and operational leadership