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Job Description

We’re looking for a Revenue Coding Specialist passionate about accuracy, compliance, and process improvement to join our Revenue Cycle team and support coding integrity and charge optimization across our health system.

The Revenue Coding Specialist plays a vital role in ensuring compliant and accurate charge capture, analyzing patient clinical and billing data, and promoting best practices in reimbursement. As a subject matter expert on coding and billing regulations, you'll help resolve denials, optimize processes, and serve as a trusted resource for staff across departments.

Your Schedule:

+ Full-time, salaried, exempt role

+ Monday through Friday

+ Day Shift

+ Remote

What You'll Do:

+ Review new procedures to determine coverage and reimbursement opportunities

+ Analyze reimbursement rates and reconcile payments using payer contracts and RVUs

+ Support denial investigations, identify root causes, and implement prevention strategies

+ Stay current on coding/billing regulations (LCDs, NCDs, NYS insurance laws, payer policies)

+ Assist in claim edit resolution to ensure compliant, clean claims are submitted

+ Maintain proficiency in CPT, HCPCS, ICD-10, OPPS, and related coding structures

+ Collaborate with Finance and IT to troubleshoot revenue-related system issues

+ Update internal procedural documentation based on regulation or policy changes

+ Develop and maintain tools for revenue tracking and compliance monitoring

What We're Looking For:

+ Associate’s degree or higher in Healthcare, Finance, Business, Accounting, or equivalent experience required.

+ AAPC CPC (not CPC-A) and/or AHIMA Certified Coding Specialist credential required. HFMA Certified Revenue Cycle Representative (CRCR) preferred.

+ Minimum of 3 years’ experience in revenue cycle operations, hospital/physician practice reimbursement, and advanced coding required. 8+ years of advanced experience in similar healthcare settings preferred.

+ Familiarity with rural hospital payment systems, NYS APG/ARG insurance regulations, charge capture, error management, and audits

+ A solutions-focused mindset with an eye for compliance and efficiency

+ Strong analytical and communication skills

+ Ability to work independently and collaboratively in a dynamic environment

+ Commitment to continuous learning and customer service

At Arnot Health, a member of Centralus Health, you'll be a part of a team that values expertise, innovation, and integrity. Your work will help ensure our patient and providers receive the best possible experience in a system built on trust and operational excellence.

Ready to advance your career in revenue cycle management? Apply now!

Requirements