Coding and Reimbursement Analyst at Olmsted Medical Center

Date: 8 hours ago
City: Rochester, MN
Contract type: Full time
Job Details

Description

1.0 FTE - Day Shift

Starting wage - $34.33 - $42.91 (based on experience)

At 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 Insurance
  • Paid Time Off
  • Dental Insurance
  • Vision Insurance
  • Basic Life Insurance
  • Tuition Reimbursement
  • Employer Paid Short-Term Disability and Long-Term Disability
  • Adoption Assistance Plan

Qualifications

  • CPC or CCS certification required
  • Knowledge of medical terminology and anatomy required
  • ICD-10, CPT, HCPCS, and DRG coding experience required
  • Experience with third party payers, Medicare Parts A & B, and state-funded programs required
  • Minimum of two years of healthcare experience required
  • Strong interpersonal and communication skills
  • Epic certifications
  • HIM hospital coding experience preferred
  • Demonstrated analytical skills
  • Strong understanding of coding concepts
  • Proven organization, documentation, and communication skills

Job 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.

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