Coding Appeals Analyst jobs in United States
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Vancouver Clinic ยท 6 hours ago

Coding Appeals Analyst

The Vancouver Clinic is seeking a detail-oriented coding specialist to support accurate billing and minimize coding-related denials as an Appeals Analyst. The role involves analyzing and appealing coding and medical necessity denials while educating clinicians and staff on coding accuracy and ensuring timely claim submissions.

Health CareHospitalMedicalPrimary and Urgent Care
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H1B Sponsor Likelynote

Responsibilities

Analyze and appeal coding and medical necessity denials
Identify denial trends and recommend process improvements
Educate clinicians and staff on coding accuracy and payor guidelines
Ensure timely and accurate claim submissions and follow-up
Review underpaid claims and appeal based on payor contracts

Qualification

ICD-10 codingCPT codingHCPCS codingMedical billing experienceAHIMA certificationAAPC certificationInsurance claims processingMedical terminology knowledgeComputer systems competenceAttention to detailOrganizational skills

Required

High school diploma or equivalent required
Minimum of one year of experience in medical billing and collections or coding
Working knowledge of ICD-10, CPT, and HCPCS coding and Correct Coding Initiatives (CCI) required
Experience working in a medical office setting required, with demonstrated understanding of standard insurance reimbursement methodologies
Knowledge of medical terminology and anatomy required
Excellent organizational skills and attention to detail required
Must have demonstrated competence with computer systems including electronic health records, and Microsoft Office Suite required

Preferred

AHIMA (CCA, CCS, CCS-, or RHIT); AAPC (CPC, CPC-A, CPC-H, CPC-H-A, or one of the relevant AAPC specialty-specific coding credentials preferred
Knowledge of government, commercial, and third-party insurance contract practices and claims processing procedures preferred

Benefits

Medical
Dental
Vision
Life insurance
AD&D
Long term disability
Health savings account
Flexible spending account
Employee assistance program
Multiple supplemental benefits (voluntary life, critical illness, accident, hospital indemnity, identity theft protection, legal services, etc.)
401k retirement plan, along with an employer matching contribution up to 4%

Company

Vancouver Clinic

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Vancouver Clinic offers orthopedics, cardiology, physical therapy, pediatrics, sports medicines and urgent care with laboratory services.

H1B Sponsorship

Vancouver Clinic 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
2022 (1)

Funding

Current Stage
Late Stage

Leadership Team

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Mark Mantei
CEO
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Betsy Suydam CPA, CGMA
Chief Financial Officer
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Company data provided by crunchbase