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