ReKlame Health

RCM Specialist

Remote - US · Senior · Full-time

Sponsorship not specified$60k-$80kDetected 43 days ago

ComplianceProcess ImprovementHIPAAEHR/EMRICD-10CommunicationProblem Solving

About the role

This role is ideal for someone with at least 3 years of behavioral health RCM experience who enjoys detail-oriented work, pattern recognition, and improving claim quality.

Partner with vendors to translate requirements and rules into our tools and the clinical and care teams to update necessary workflows.
Review clinical documentation (eg SOAP notes), own CPT/ICD-10 coding, and submit claims for complex cases.
Support coding corrections and resubmissions, provide clarification, and maintain reference guides when necessary.
Partner with the credentialing and billing teams, senior management, and vendors on implementing new payer contracts and workflows.

Must be comfortable with EOBs, patterns, and payer behavior.
Technical Skills: Advanced proficiency with ICD-10, CPT, and HCPCS coding systems.

Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) strongly preferred.
Advanced proficiency with ICD-10, CPT, and HCPCS coding systems.
Detail-Oriented: Exceptional accuracy and attention to detail in coding/billing and documentation.
Annual

Medical, dental, and vision
Paid Time Off (PTO): 21 days of paid time off, including vacation and sick leave.
ReKlame Health considers several factors to ensure a fair and competitive offer when evaluating compensation packages.
These include the role's scope and responsibilities, the candidate's work experience, education, and training, and their essential skills.
Internal peer equity is also examined to maintain balance within the organization.
Please be aware of fraudulent recruiting activity carried out by individuals or organizations claiming to represent ReKlame Health.
Monitor changes in payer policies and stay up to date on behavioral health and psychiatry guidelines to ensure optimized coding and billing practices.
Experience working with EHR systems, clinical notes, and medical billing software required. experience with denial resolutions, coding audits, and QA review preferred.
ReKlame Health does not make job offers without an interview process and will never request payment, gift cards, cryptocurrency, or personal banking information from candidates.

ReKlame Health provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, sex, pregnancy, sexual orientation, gender identity or expression, national origin, age, disability status, protected veteran status, or any other characteristic protected by federal, state, or local law.
Additionally, current market conditions and overall organizational needs are crucial in shaping the final offer.
Each aspect is thoughtfully reviewed before an offer is extended, ensuring a comprehensive and equitable approach.
Official recruiting communications will be sent by authorized representatives through official company email addresses.

This listing is sourced directly from ReKlame Health's careers page and normalized into a canonical job model.