Vancouver Clinic · 1 day ago
Reimbursement Analyst
Vancouver Clinic is a healthcare provider offering a wide range of medical services. They are seeking a Reimbursement Analyst to identify, analyze, and resolve payor underpayments to ensure accurate reimbursement, as well as review contracts and prepare appeals.
Health CareHospitalMedicalPrimary and Urgent Care
Responsibilities
Review payments against contracts, fee schedules, and reimbursement policies
Identify underpayments and improper denials; prepare and submit appeals
Analyze trends related to underpayments, CPT/HCPCS codes, and modifiers
In collaboration with payer representatives, resolve reimbursement discrepancies
Qualification
Required
High school diploma or equivalent required
Minimum three years of experience in medical billing and collections or coding required
Working knowledge of ICD-10, CPT, and HCPCS coding and Correct Coding Initiatives (CCI) required
Must have demonstrated competence with computer systems including electronic health records, and Microsoft Office Suite required
Ability to interpret insurance medical policies and procedures
Experience working in a medical office setting required, with demonstrated understanding of standard insurance reimbursement methodologies
Have strong analytical and problem-solving skills
Effectively communicate and collaborate with internal and external teams
Adapt to change and manage ambiguity
Efficient use of time and resources with a continuous improvement mindset
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
Epic EHR and Experian Contract Manager experience
Knowledge of government, commercial, and third-party insurance contract practices and the claims processing procedures
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
Employer matching contribution up to 4%