1.0 FTE - Day ShiftStarting Pay - $35.01 to $52.52 (based on experience)Offers for external candidates are generally made between the minimum and midpoint of the range, based on experience.
- Medical Insurance
- Dental Insurance
- Vision Insurance
- Basic Life Insurance
- Tuition Reimbursement
- Employer Paid Short-Term Disability and Long-Term Disability
- Adoption Assistance Plan
Qualifications:- 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
- Demonstrated analytical skills
- Strong understanding of coding concepts
- Proven organization, documentation, and communication skills
Job Responsibilities:- 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.
- 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 finds and progress to the Insurance and Reimbursement departments.
- Works with various payers on risk adjustment analysis.
- Other duties as assigned.
