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Top Echelon Network
Coding Review Analyst
Job Location: Portland, OR
Salary: 25000 - 35000
Shift:
Full-Time
Top Echelon Network
Coding Review Analyst
Job Location:
Portland, OR
Job Type:
Full-Time
Job Description:
CODING REVIEW ANALYST
EDUCATION AND SKILLS
High school diploma or equivalent required, college preferred.
AAPC certification or 3 years equivalent experience preferred.
Must have extensive CPT4 and ICD9 coding experience in a multispecialty setting.
Substantial knowledge of CCI Regulations preferred.
Must have excellent knowledge of anatomy and medical terminology.
Demonstrated understanding of standard insurance reimbursement methodologies preferred
Must have excellent written and verbal communication skills
Must have demonstrated competence with computers including practice management systems, word processing, e-mail and spreadsheets
Keyboarding skill of 40 wpm or better required
Drivers License Required
Hours
Monday-Friday 8a-5p
Description
As a Coding Specialist, provides coding expertise to ensure billing compliance and appropriate reimbursement. Provides coding back-up to the decentralized specialty coding staff. Assists business services by reviewing documentation as requested to assure correct coding for invoices considered for appeal.
I. ESSENTIAL FUNCTIONS AND RESPONSIBILITIES
Maintains an in-depth knowledge of ICD9, CPT and HCPCS coding and Correct Coding Initiatives (CCI).
Reviews Invoices for correct coding as requested by Central Business Office (CBO) staff on behalf of a patient, and may make necessary corrections.
Reviews Medicare coding regulations and facilitates organizational compliance.
Designs encounter forms in cooperation with Clinic Managers and Providers.
Supports Codescan functions clinic-wide.
Utilizes understanding of Practice Management system to recommend Master File changes to facilitate correct claims coding per carrier specifications
Serves as back-up to Specialty Coders, coding for their Providers during vacations or extended absences.
Periodically audits Coders to assure compliance with Correct Coding Initiative.
Conducts research into coding/reimbursement issues. Works with CBO and other staff to develop and implement procedures to improve coding accuracy.
Maintains supply and drug pricing in Practice Management System.
Provides coding workshops and training sessions for Providers, CBO and Coding staff as requested.
May monitor Clinical Coders coding knowledge via audits and other mechanisms.
Attends all required staff meetings, in-service meetings, and participates in agency committees or task force activities.
Other related tasks as assigned.
Hours per Week
40
Experience:
99 year(s) of experience
Helpful Skills:
Medical Assistant; Medical; Application Generators; Standards
Compensation/Benefits:
Salary: 25000 - 35000 / Hourly: 16 - 20
Top Echelon Network
Click Here to Apply
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