Eye Health America
Eye Health America
Eye Health America is a healthcare organization focused on personalized, patient-centered eye care. Founded in 2018, it works with established eye care practices across the Southeast, supporting collaboration, quality improvement, and patient satisfaction. Its broader team operates at the intersection of healthcare, healthcare insurance, and pharmaceuticals, with a focus on helping member practices deliver consistent, high-quality care while building a trusted healthcare partnership.

Remote Revenue Cycle Specialist | Eye Health America

Audit healthcare claims, coding, and documentation to strengthen revenue integrity and compliance. Improve reimbursement accuracy, reduce denials, and optimize billing workflows in a remote healthcare role.

Description

  • Audit claims, medical records, and supporting documentation to uncover errors, discrepancies, and compliance concerns.
  • Confirm that services are documented, coded, and billed accurately under payer and regulatory standards.
  • Find additional billable services, improve coding precision, and help lower claim denial rates.
  • Review reimbursement rates and payer fee schedules.
  • Train clinical and administrative teams on effective coding and documentation practices.
  • Track coding and billing rule changes and communicate relevant updates to staff.
  • Oversee adherence to CMS and third-party payer requirements.
  • Evaluate revenue integrity metrics and prepare performance reports.
  • Implement workflow improvements that strengthen revenue integrity, reduce errors, and improve efficiency.
  • Partner with internal departments to resolve issues and refine revenue cycle operations.
  • Support coders and clinical personnel with complex coding cases and documentation questions.
  • Perform recurring chart audits and give feedback to improve documentation quality.

Requirements

  • Bachelor’s degree in healthcare administration, health information management, nursing, or a related discipline.
  • Several years of healthcare billing, coding, or revenue cycle experience focused on revenue integrity.
  • Experience in eye care is preferred.
  • Relevant credentials, such as Certified Professional Coder (CPC), may be preferred.

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