Role Description The goal of the Sr. Revenue Cycle Billing Specialist is to successfully collect on aging medical insurance claims, either in the office or at the client site. Essential Duties and Responsibilities - File claims using all appropriate forms and attachments - Research account denials and file written appeals, when necessary - Evaluate the information received to determine which insurance to bill and attain necessary attachments or supporting documentation to send with each claim - Research account information to determine the necessary attachments or supporting documentation to send with each claim - Ensure the integrity of each claim that is billed - Document in detail all efforts in system(s) and any other computer system necessary - Verify patient information and benefits - Appeal accounts in writing - Draft letters as required Additional Duties and Responsibilities - Meet specified goals and objectives as assigned by management on a regular basis - Maintain confidentiality of account information at all times - Maintain awareness of and actively participate in the Corporate Compliance Program - Assist with other projects as assigned by management - Maintain good working relationships with state and Federal agencies - Resolve accounts in a timely manner - Maintain a neat and orderly work station Qualifications - High school diploma or equivalent is required - 1–3 years experience in insurance billing preferred - Knowledge of all insurance payers preferred - Proficient PC knowledge and the ability to type 30–40 wpm - Professional written and verbal communication skills - Capacity to prioritize multiple tasks in a busy work environment - Organization and time management skills - Capability to present oneself in a courteous and professional manner at all times - Ability to stay on task with little or no supervision Working Conditions - Call center environment - Must be able to sit for extended periods of time Benefits - Medical - Vision - Dental - 401K - Paid Time Off We are an Equal Opportunity Employer. All qualified applicants are considered for employment without regard to race, color, age, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other characteristic protected by federal, state or local law. Not Accepting Referrals

• Responsible for oversight of teams performing revenue cycle functions across multiple clients • Support domestic business office staff as a point of contact for day-to-day management • Own client facing meetings, including agendas and reports • Manage team metrics and individual productivity • Collaborate with Shared Services for client onboarding • Review and approve employee time including overtime • Create and maintain unit budget and KPIs

Role Description Join VillageCare as a Full Time Risk Adjustment Coder and embrace the opportunity to work remotely while making a significant impact in the Health Care sector. This role offers the flexibility of a work-from-home environment, allowing you to balance your professional and personal commitments without the daily commute. You'll be part of a dynamic team that thrives on innovation, problem-solving, and a customer-centric approach, all while contributing to the excellence and integrity that VillageCare stands for. Your responsibilities will include: - Performing critical code abstraction of medical records, ensuring accurate assignment of ICD-9-CM, ICD-10-CM, CPT, and HCPCS codes supported by clinical documentation. - Conducting comprehensive reviews of medical records to validate that documentation meets CMS requirements, including provider signatures and relevant dates. - Identifying improvement opportunities in documentation and coding processes. - Participating in quality initiatives that enhance overall outcomes. - Maintaining current knowledge of coding standards and regulations. - Supporting the Medicare Risk Adjustment team in educating providers on compliance and consistency. - Reporting findings from audits and assisting in analysis. - Maintaining a minimum accuracy of 95% on coding quality audits while meeting productivity requirements. Qualifications - Strong knowledge of clinical terminology, disease processes, anatomy/physiology, and pharmacology. - 5 recent years of HCC/Risk Adjustment and/or inpatient coding experience. - Certified through AAPC or AHIMA (CPC, CRC, RHIT, or RHIA). - Must reside in NY, NJ, or CT. Requirements - Exceptional attention to detail. - Basic computer skills. - Ability to maintain a productive home office environment with high-speed internet. - Strong knowledge of claims processing procedures and systems. - Understanding of state, federal, and Medicare regulations and Coordination of Benefits applications. - Strong problem-solving skills and a commitment to coding excellence. Benefits - PTO package. - 10 Paid Holidays. - Personal and Sick time. - Medical/Dental/Vision. - HRA/FSA. - Education Reimbursement. - Retirement Savings 403(b). - Life and Disability. - Commuter Benefits. - Paid Family Leave. - Additional Employee Discounts. Company Description VillageCare is a community-based, not-for-profit organization serving people with chronic care needs, as well as seniors and individuals in need of continuing care and managed care services. Our mission is to promote healing, better health, and well-being to the fullest extent possible. Our care is offered through a comprehensive array of community and residential programs, as well as managed care. VillageCare has delivered quality health care services to individuals residing within New York City for over 45 years.

• Review outpatient medical records to assign appropriate ICD-10, CPT, and HCPCS codes • Ensure coding accuracy and compliance with regulations, payer policies, and guidelines • Work with billing teams to prepare and submit claims, resolving any coding-related denials • Collaborate with healthcare providers to clarify documentation and ensure proper code assignment • Stay current on coding updates and payer requirements • Demonstrative effective communication and response using systems available to both the Hospital Coder and management through telephone and email communication • Demonstrate effective use of required software