The RCM Project Support role is a temporary, project-focused position responsible for driving targeted revenue cycle initiatives from identification through resolution. Primary areas of focus include coding and accounts receivable (AR) backlogs. This role will work closely with RCM leadership and operational partners to organize project work, establish priorities, track progress, identify barriers, and ensure assigned initiatives move to completion. The ideal candidate is highly organized, analytical, comfortable working with large volumes of healthcare revenue cycle data, and able to independently investigate issues and turn findings into actionable recommendations. Responsabilities:
· Key Responsibilities Coding · Drive resolution of coding backlogs, unbilled or missing encounters, and coding-related worklists. · Identify documentation or workflow barriers preventing timely claim submission. · Monitor strict 72-hour claim submission TAT, escalating and assisting as required. AR · Support targeted AR backlog and account-resolution, including aged, denied, high-dollar, or unresolved claims. · Perform comprehensive claim-level research from initial submission through current status, including original claim submissions, clearinghouse and payer responses, denials/rejections, corrected claims, appeals, resubmissions, remittance activity, adjustments, and historical payment posting to determine the true current status of the account, independently validating the claim history. · Validate that prior payments, adjustments, transfers, and other vendor posting activity were applied accurately. · Own assigned claims through final resolution rather than reassigning. Resolutions may include corrected claim submission, payer portal appeal/reconsideration, posting/transfer correction, and/or appropriate write-offs. · Monitor outstanding claim “touches” for required 48-hour TAT status update. Reporting · Maintain project plans, trackers, and action-item worklists for immediate resolution count inquiries · Provide regular, sometimes daily, status updates highlighting progress, barriers, next steps, and results. Skills and qualifications - Hard and soft skills: Required · Minimum 3-5 years combination of coding and AR experience · Knowledge of AMA CPT, CMS, and ICD-10 coding guidelines and proper AR resolution · Strong research and organizational skills with the ability to work efficiently and independently · Proficiency with Excel, Power BI reporting, and payer portal navigation Preferred · At least one-year AdvancedMD EHR experience, particularly claims center and collection module workflows · AAPC certification in coding or billing, or equivalent – preferred non-apprentice status
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