Coding and Reimbursement Analyst

Overview

1.0 FTE - Day Shift

Starting wage - $35.01 - $43.77 (based on experience)

• Medical Insurance
• Paid Time Off
• Dental Insurance
• Vision Insurance
• Basic Life Insurance
• Tuition Reimbursement
• Employer Paid Short-Term Disability and Long-Term Disability
• Adoption Assistance Plan

• CPC or CCS certification required
• Knowledge of medical terminology and anatomy required
• ICD-10, CPT, HCPCS, and DRG coding experience required
• Experience with third party payers, Medicare Parts A & B, and state-funded programs required
• Minimum of two years of healthcare experience required
• Strong interpersonal and communication skills
• Epic certifications
• HIM hospital coding experience preferred
• Demonstrated analytical skills
• Strong understanding of coding concepts
• Proven organization, documentation, and communication skills

• Builds and maintains Epic system for hospital coding.
• Trains team members on Epic upgrades.
• Creates and produces regular reports for department leadership.
• Troubleshoots Epic system issues and makes necessary changes for resolution.
• Assists coding management in development, coordination, and implementation of enhancements for the departments.
• Actively participates as a member of various teams and committees.
• Steps “out of the box” by thinking creatively and bringing forth new ideas and suggestions to management.
• Attends education and training seminars as well as User Group meetings.
• Manages assigned work list for account denials and insurance inquiries for professional and technical components.
• Works closely with patient account representatives in denial reversal and the appeal process.
• Works closely with the Reimbursement department.
• Remains current on insurance payer guidelines by reviewing monthly news bulletins.
• Attends available training to remain current with coding guidelines.
• Monitors denial frequency and trending to assist in organizational denial management, working closely with the business analysts.
• Reports findings and progress to the Insurance and Reimbursement departments.
• Works with various payers on risk adjustment analysis.
• Other duties as assigned.