Certified Coding Specialist

Seeking a remote Senior Solution Technical Expert in Revenue Integrity Coding & Billing, this full-time position requires a Certified Coding Specialist to provide enterprise-level expertise in coding, charge capture, billing, and revenue integrity analytics across the Military Health System. Key responsibilities: Serve as a subject matter expert in coding, billing, and revenue integrity for various service lines, ensuring compliance and accuracy Analyze and resolve complex claim edits and billing issues, while pulling and interpreting revenue cycle data for risk identification Collaborate with cross-functional teams to develop coding and billing standards, and deliver executive-level reporting on financial exposure and remediation outcomes Required qualifications: Bachelor's degree in a clinical, healthcare, business, or related field, or an Associate's degree with five years of revenue cycle experience Active coding certification from AHIMA or AAPC (e.g., CCS, CPC) Five or more years of progressive medical coding and billing experience, with a focus on revenue integrity and denial management Expert knowledge of coding guidelines and payer edit logic, including ICD 10 CM, CPT, and HCPCS Strong proficiency in Microsoft Excel for data analysis and experience in developing executive presentations