Professional Coding Analyst jobs in United States
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EvergreenHealth · 5 hours ago

Professional Coding Analyst

EvergreenHealth is a healthcare organization focused on improving patient care and operational efficiency. They are seeking a Professional Coding Analyst responsible for evaluating coding processes, tracking performance, and recommending improvements to enhance revenue cycle performance.

Health CareHospitalMedical Device
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H1B Sponsor Likelynote

Responsibilities

Analyzes Professional Coding denial data. Identifies trends by performing trend analysis. Prevents future denials by developing and recommending new and innovative methods or solutions to identified issues
Analyzes and identifies trends within coding change data. Researches and identifies opportunities for coder education or process automation
Reviews charge capture audit reports to verify appropriate charges are captured
Monitors the professional coding WQs to identify patterns/trends and investigate potential issues
Develops and monitors PB dashboards, Key Performance Indicators (KPI) data, and coordinates Professional Coding analytics
Collaborates with IT to leverage Epic technology to improve efficiency and foster automation within the Professional Coding Department
Collaborates with clinical areas, Professional Billing, and IT to develop and implement new coding and charge capture workflows
Builds strong relationships and facilitates effective communication with clinical areas and operational leadership
Creates and distributes Epic reports to key stakeholders at scheduled intervals
Develops presentations, reports, and educational materials that effectively communicate information to support Professional Coding revenue cycle optimization
Monitors Epic build for CPT charges to optimize revenue and collaborate across clinical operations, finance, and IT to facilitate resolution
Evaluates annual coding changes to determine Epic build. Works with IT to implement identified changes
Performs other duties as assigned

Qualification

Professional coding credentialICD-10CPTHCPCS codingEpic functionalityMicrosoft Office ExcelMedical terminologyAnatomyPhysiologyPayer billing requirementsProcess improvementTrend analysisCommunication skills

Required

High school diploma or G.E.D
Current professional coding credential: AAPC (Certified Professional Coder [CPC], Certified Outpatient Coder [COC]), PMI (Certified Medical Coder [CMC]), or AHIMA (Certified Coding Specialist-Physician [CCS-P], Certified Coding Associate [CCA], Certified Coding Specialist [CCS], Registered Health Information Administrator [RHIA], Registered Health Information Technician [RHIT])
3 years of professional coding experience in a multi-specialty medical group setting
Possess advanced skills in Microsoft Office with emphasis on Excel advanced functions and PowerPoint
Extensive knowledge in ICD-10, CPT and HCPCS coding for professional services with emphasis on major surgical procedures for multiple specialties
Proficient understanding of Epic functionality related to professional coding charge review, denials, and claim edits
Proficient knowledge in medical terminology, coding and sequencing guidelines
Comprehensive understanding of anatomy, physiology and disease processes
Expanded understanding of payer billing requirements, managing denials, payer policies, and navigating payer platforms
Excellent written and verbal communication skills

Preferred

5 years of professional coding experience in a multi-specialty medical group setting
AAPC specialty surgical certification(s): Certified Cardiology Coder [CCC], Certified Cardiovascular and Thoracic Surgery Coder [CCVTC], Certified Gastroenterology Coder [CGIC], Certified General Surgery Coder [CGSC], Certified Interventional Radiology Cardiovascular Coder [CIRCC], Certified Obstetrics Gynecology Coder [COBGC], Certified Ophthalmology Coder [COPC], Certified Orthopedic Surgery Coder [COSC], Certified Urology Coder [CUC]
Experience with Excel Power Queries
Experience using Epic SlicerDicer

Benefits

Medical, vision and dental insurance
On-demand virtual health care
Health Savings Account
Flexible Spending Account
Life and disability insurance
Retirement plans (457(b) and 401(a) with employer contribution)
Tuition assistance for undergraduate and graduate degrees
Federal Public Service Loan Forgiveness program
Paid Time Off/Vacation
Extended Illness Bank/Sick Leave
Paid holidays
Voluntary hospital indemnity insurance
Voluntary identity theft protection
Voluntary legal insurance
Pay in lieu of benefits premium program
Free parking
Commuter benefits

Company

EvergreenHealth

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EvergreenHealth, a public hospital district, is an integrated health care system offering a breadth of services

H1B Sponsorship

EvergreenHealth has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2023 (1)
2022 (1)
2021 (2)

Funding

Current Stage
Late Stage
Total Funding
$5.85M
2014-04-01Series Unknown· $5.85M

Leadership Team

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Frank Hemeon
Interim Chief Financial Officer
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Chris Bredeson, MBA, FACHE
Chief Operating Officer
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Company data provided by crunchbase