Coding and Reimbursement Analyst
: Job Details :


Coding and Reimbursement Analyst

Olmsted Medical

Location: Rochester,MN, USA

Date: 2024-10-10T06:44:04Z

Job Description:

1.0 FTE, hybrid position but must be available for occasional onsite work in Rochester, MNAt Olmsted Medical Center, we value our employees and are committed to providing a comprehensive and competitive benefits package. To keep up with the evolving trends, Olmsted Medical Center offers the following for employees who are employed at a 0.5 FTE or higher.Medical InsuranceDental InsurancePaid Time OffVision InsuranceBasic Life InsuranceTuition ReimbursementEmployer Paid Short-Term Disability and Long-Term DisabilityAdoption Assistance PlanQualifications:CPC or CCS certification requiredKnowledge of medical terminology and anatomy requiredICD-10, CPT, HCPCS, and DRG coding experience requiredExperience with third party payers, Medicare Parts A & B, and state-funded programs requiredMinimum of two years of healthcare experience requiredStrong interpersonal and communication skillsEpic certificationsHIM hospital coding experience preferredDemonstrated analytical skillsStrong understanding of coding conceptsProven organization, documentation, and communication skillsJob Responsibilities: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 finds and progress to the Insurance and Reimbursement departments.Works with various payers on risk adjustment analysis.Other duties as assigned.Equal Opportunity Employer/Protected Veterans/Individuals with DisabilitiesThe contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor's legal duty to furnish information. 41 CFR 60-1.35(c)

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