Coder Review Analyst - Fully Remote

LAKE REGION HEALTHCARE•Fergus Falls, MN

5d•$25 - $37•Remote

About The Position

The Coder Review Analyst will research, analyze, and correct coding related claim, edits and denials. This position works closely with billing staff to create and resolve appeals, provide requested documentation to payers, and other issues that arise. The Analyst will bring forward any possible edit opportunities within our internal systems to reduce denials, and will research and analyze payer policies ensuring our coding complies with payer, state, and federal regulations. This position works with Coding Management, presenting educational opportunities that arise based off information attained from aforementioned regulations and any ongoing trends that may arise. The incumbent will be responsible for applying ICD-10-CM, CPT, and HCPCS codes to claims based on guidelines and policies whether internal or external and will actively seek out educational opportunities to remain current with all regulations. Other duties as assigned by management.

Requirements

Bachelors or associates in an HIM or related field with RHIA, RHIT, or CCS certification, or eligibility for obtaining RHIA/RHIT certification within six months of hire.
Ability to communicate effectively both orally and in writing.
Ability to operate computer equipment.
Successful completion of the pre-employment health screening process.
Must be able to attend the work site per schedule.

Nice To Haves

Experience in coding.

Responsibilities

Research, analyze, and correct coding related claim, edits and denials.
Work closely with billing staff to create and resolve appeals.
Provide requested documentation to payers and address other issues that arise.
Bring forward possible edit opportunities within internal systems to reduce denials.
Research and analyze payer policies ensuring coding complies with payer, state, and federal regulations.
Present educational opportunities based on regulations and ongoing trends.
Apply ICD-10-CM, CPT, and HCPCS codes to claims based on guidelines and policies.
Actively seek out educational opportunities to remain current with all regulations.
Other duties as assigned by management.