Premier Health Partners · 2 hours ago
CODING ANALYST
Moraine, OH
Full-time
Onsite
Entry, Mid Level
2+ years expPremier Health Partners is responsible for providing healthcare solutions, and they are seeking a Coding Analyst to audit and monitor medical information and coding compliance. The role involves training staff, consulting with management, and ensuring adherence to coding regulations to improve operational efficiency and reimbursement.
CommunitiesHealth CareHospitalMedicalPersonal Health
Responsibilities
Create, implement, and audit compliance and education program
Serve as a consultant and educator to ensure coding and documentation across the organization
Prepare written and oral summaries of documenting, coding, and charge entry performance to provide to physicians and senior leadership an understanding and explanation of results
Identify outliers and under-performance areas and communicate to the appropriate relevant parties using the proper chain of command
Work with Operations Directors, office managers and physicians to develop and implement strategies to improve results
Keep up to date and in compliance with all current and future changes in coding/documentation rules and regulations that impact current policies and procedures including implementation and enforcement in accordance with government and commercially contracted guidelines
Develop and maintain current knowledge of the state of health care in regards to reimbursement, federal regulations, trends, and forecasting
Identify internal control weaknesses and business improvement opportunities
Look for ways to provide more cost effective services through the use of technology (EPIC)
Evaluate and possibly assist in redesigning current workflows in order to improve efficiencies and productivity in the documentation, coding and charge entry
Enhance communication between Corporate and Physician Practice environments to ensure a cooperative atmosphere
Act as a liaison and first-line point of contact for questions, errors and new issues for the physicians and their office staff
Qualification
Required
RHIT or CPC certification required
Two (2) years experience with physician office coding
Demonstrated working knowledge of professional billing
Successful presentation techniques
Excellent organizational skills
Customer service skills
Oral communication skills
Written communication skills
Strong knowledge base of ICD-9-CM, CPT and HCPCS coding
Knowledge of financial analysis techniques
Knowledge of costing
Knowledge of federal and state regulatory processes
Knowledge of insurance billing
Knowledge of third party payor requirements
Knowledge of outcome measurements
Knowledge of medical information and practice patterns
Advanced knowledge of Microsoft Word
Advanced knowledge of Microsoft Excel
Preferred
Experience With Epic EMR
Company
Premier Health Partners
Premier Health Partners is a partner of Catholic Health Initiatives at their Good Samaritan facilities.
10001+ employees
Funding
Current Stage
Late StageLeadership Team
Keith Bricking
chief clinical officer
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