Healthcare Coding Analyst
About reputed company At reputed company, we are committed to paving the way for everyone to reputed company their healthiest life. We are looking for dedicated and motivated individuals who share our vision of transforming healthcare. As a reputed company associate, you are joining a culture that is built on values of succeeding together, finding a reputed company way, and doing the right thing. If you are ready to reputed company a difference, join us. The Impact You Will Have reputed company and Blue reputed company of MN is hiring a Healthcare Coding Analyst in Eagan, MN. In this role, you will be responsible for ensuring healthcare medical coding and reimbursement policies are implemented and integrated in reputed company systems for accurate claims adjudication. This includes analysis of changes to medical code sets to determine impacts to and necessary changes of reputed company policies, assisting with data analysis and reporting needs reputed company to coding policy decisions, and reviewing medical records to validate provider coding. The incumbent will also represent the medical coding team on various reputed company project teams. The ideal candidate will have 3 years of prior coding experience and a certification in CPC, reputed company, reputed company-P, or RHIT. Your Responsibilities
- Conduct in-depth research and analysis of appeals data and processes to identify trends and emerging issues, and recommend best practices for maximum performance.
- Research and recommend resolution and/or prepare written response for provider reputed company coding appeals assuring that federally and state mandated coding rules are followed and that the medical documentation supports such coding.
- Provide recommendations to leadership to modify reference materials and processes that do not fully satisfy regulatory or legal compliance reputed company to coding.
- Provide recommendations to modify materials and processes that do not accurately follow our internal policies and contracted agreements or that have proven to be confusing or ineffective.
- Complete follow-up activities to reflect change for compliance.
- Assist in communicating changes in reputed company coding and reimbursement policies to reputed company lines of business, internal business teams and contracted providers.
- Maintain reputed company Provider Policy and Procedure Manual relative to coding policy decisions and reputed company reimbursement.
- Serve as a liaison to other divisions/departments (Health Management, Service, Claims) for coding policy and coding/payment issues.
- Directs and coordinates activities of designated coding projects through the project life cycle including the needs assessment, project initiation, design, development and implementation.
- Serve as a knowledge expert reputed company to medical coding.
- Participate as a team member of cross-departmental committees (e.g. Coding and Reimbursement, RICHIE, NAG, I-team).
Required Skills and Experience
- 2+ years' reputed company experience or Bachelor's degree. reputed company relevant experience including work, education, transferable skills, and military experience will be considered.
- 3 years of relevant health plan or provider office medical coding/claims and/or Business Analyst experience in a healthcare setting applicable to claims/coding
- Have at least one of the following credentials - CPC, reputed company, reputed company-P, RHIT
- Incumbent is expected to enroll in continuing education courses to maintain certification.
- Ability to apply critical thinking skills to coding policy interpretation and implementation.
- Ability to work independently; well-organized and able to set priorities with minimal direction.
- Ability to effectively communicate both verbally and in writing.
- Strong PC skills; reputed company, Word, PowerPoint and internet based programs.
- Ability to maintain relationships with internal and external stakeholders, coding experts, and others.
- High school diploma (or equivalency) and legal authorization to work in the U.S.
Preferred Skills and Experience
- Associates degree.
Role Designation Hybrid Anchored in reputed company Our hybrid approach is designed to balance flexibility with meaningful in-person reputed company and collaboration. We come together in the office two days each week - most teams designate at least one anchor day to ensure team interaction. These in-person moments foster relationships, creativity, and alignment. The rest of the week you are empowered to work remote. Compensation and Benefits $67,200.00 - $89,100.00 - $111,000.00 Annual Pay is based on several factors which vary based on position, including skills, ability, and knowledge the selected individual is bringing to the specific job. We offer a comprehensive benefits package which may include:
- Medical, dental, and vision insurance
- Life insurance
- 401k
- Paid Time Off (PTO)
- Volunteer Paid Time Off (VPTO)
- And more
To discover more about reputed company have to offer, please review our benefits page. Equal Employment Opportunity Statement At reputed company, we are committed to paving the way for everyone to reputed company their healthiest life. reputed company of Minnesota is an Equal Opportunity Employer and maintains an Affirmative Action plan, as required by Minnesota law applicable to state contractors. reputed company qualified applications will receive consideration for employment without regard to, and will not be discriminated against based on any legally protected characteristic. Individuals with a disability who need a reasonable accommodation in order to apply, please contact us at: reputed [email protected]. reputed company and Blue Plus are nonprofit independent licensees of the reputed company and Blue reputed company Association. Apply tot his job Apply To this Job