Revenue Cycle Specialist

Eye Health America

. Review and audit claims, medical records, and documentation to identify errors, discrepancies, or compliance issues.

Posted 10/9/2026full-timeRemote • United StatesMid-LevelSeniorWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in healthcare billing, coding, and revenue cycle management, with a strong focus on revenue integrity and compliance with CMS and payer requirements. Capable of providing training, analyzing data, and implementing process improvements to enhance documentation quality and reduce claim denials.

Highest-signal resume keywords

Healthcare BillingCoding AccuracyRevenue Cycle ManagementCertified Professional Coder - CPCCompliance Monitoring

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Claims ReviewMedical Record AuditingDocumentation VerificationReimbursement AnalysisProcess Improvement

Soft Skills

Training and EducationCollaborationFeedback Provision

Certifications & Qualifications

Certified Professional Coder - CPC

Industry Keywords

Revenue IntegrityCMS ComplianceEyecare ExperienceBilling GuidelinesCoding Best Practices

About the role

Key responsibilities & impact

Review and audit claims, medical records, and documentation to identify errors, discrepancies, or compliance issues.
Verify that services are correctly documented, coded, and billed according to payer and regulatory requirements.
Identify opportunities for additional billable services, improve coding accuracy, and reduce claim denials.
Analyze reimbursement rates and fee schedules.
Provide training and education to clinical and administrative staff on coding and documentation best practices.
Monitor changes in coding and billing guidelines and share updates with relevant staff.
Monitor compliance with CMS and third-party payer requirements.
Analyze data and prepare reports on revenue integrity performance indicators.
Identify and implement process improvements to enhance revenue integrity, streamline workflows, and reduce errors.
Collaborate with relevant departments to resolve issues and improve revenue cycle processes.
Assist coders and clinical staff with complex coding scenarios and documentation requirements.
Conduct regular chart reviews and provide feedback to improve documentation quality.

Requirements

What you’ll need

Bachelor's degree in a related field, such as healthcare administration, health information management, or nursing.
Several years of experience in healthcare billing, coding, or revenue cycle management, with a focus on revenue integrity.
Eyecare experience preferred.
Relevant certifications (e.g., Certified Professional Coder - CPC) may be preferred.