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
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
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
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 StageCompany data provided by crunchbase