Coding & Reimbursement Analyst

The responsibilities of this job include, but are not limited to the following:

• Completing a periodic review of Physicians’ and Physician Extenders’ charts;
• Preparing and distributing feedback to Physicians and Physician Extenders after the review process is completed;
• Coordinating and providing additional training to Physicians and Physician Extenders on E&M and ICD-10 coding as needed;
• Ensuring ICD-10, CPT (including E&M), and HCPCS coding is performed properly by Physicians and Physician Extenders;
• Ensuring the coding is performed according to current industry standards and according to commercial payers’ coding guidelines;
• Monitoring changes in ICD-10, CPT (including E&M), and HCPCS coding guidelines regularly, reporting changes to the Compliance Coding Committee, and assisting with implementation of changes;
• Attending Coding Compliance Committee meetings;
• Attending training classes and seminars;
• Performing occasional audits, both routinely and when necessary to identify problem areas;
• Assisting other departments with coding-related questions;
• Performing other duties as assigned.

Minimum education and professional requirements include, but are not limited to, the following:

• Employee must be 18 years of age or older;
• Certified Professional Coder (CPC), Certified Coding Specialist – Physician-based (CCS-P), or equivalent credential required;
• Certified Professional Medical Auditor (CPMA) credential a plus;
• Firm understanding of medical terminology;
• Strong understanding of the laws regarding compliance;
• Ability to work independently and as part of a team;
• Excellent written and verbal communication skills;
• Excellent computer skills, including Microsoft Office applications;
• Two years’ experience working in a medical facility preferred; primary care physician (PCP) practice a plus;
• Two years’ medical coding experience preferred;
• Two years’ medical auditing experience preferred;
• Ability to prioritize and multitask;
• Ability to sit for up to 8 hours at a time.

Salary Range: $56,000 - $66,000 annually, depending on experience.

Benefits and Other Compensation:

• Health, Dental and Vision insurance for employees and dependents
• Disability, Life and Long Term care insurance
• Employee Assistance Program, Flexible Spending accounts, 401(k) Retirement Plan (with employer match)
• Paid Annual Leave, Volunteer Time Off Pay, Bereavement Leave, Emergency Leave Bank
• Holiday Pay
• Discounted medical treatment at any Patient First location for employees and immediate family
• Bonuses include:
• Recruitment bonus