Olmsted Medical Center · 1 day ago
Coding and Reimbursement Analyst
Olmsted Medical Center is a healthcare provider committed to employee well-being and benefits. They are seeking a Coding and Reimbursement Analyst to manage the Epic system for hospital coding, train team members, and produce reports for department leadership while ensuring compliance with coding guidelines.
Health CareHospitalMedicalNon Profit
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
Qualification
Required
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
Preferred
HIM hospital coding experience preferred
Demonstrated analytical skills
Strong understanding of coding concepts
Proven organization, documentation, and communication skills
Benefits
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