Coding Analyst I-SelectHealth

Intermountain Health•SelectHealth - Murray, GA

4d•$31 - $49

About The Position

The Coding Analyst I for SelectHealth provides general expertise across professional, facility (inpatient and outpatient), drug, Durable Medical Equipment (DME), and laboratory coding. The role supports highly regulated government insurance programs, including Medicare, Medicaid, the Affordable Care Act (ACA), Children's Health Insurance Program (CHIP), and Federal Employees Health Benefit (FEHB), as well as self-funded plans with unique plan designs, reimbursement, compliance initiatives, regulatory requirements, and billing practices. The analyst reviews claims and monitors provider appeals, including sending correspondence to providers. The position reviews pre-payment claims to ensure accurate coding and reimbursement in accordance with contracts, payment methodologies, and applicable state and federal regulations. It also involves consultation, communication, and training with other SelectHealth and Intermountain Healthcare departments, physicians, facilities, and provider offices. The analyst supports higher-level analysts, manages assigned workload, and maintains subject-matter expertise to educate providers and staff. The role is based at SelectHealth in Murray, Utah, with 40 scheduled weekly hours. The listed hourly range is $31.01–$48.84, with the actual rate dependent on experience. Flexible work options may be available where approved and stated in the posting; candidates residing or planning to reside in certain listed states are not being considered. A Microsoft Teams video interview is required, with potential onsite interviews and meetings.

Requirements

Associate degree from an accredited institution, or two years of work experience in coding, healthcare, or a health plan environment.
Demonstrated intermediate-level experience with Microsoft Office applications.
Demonstrated excellent written and verbal communication and presentation skills.

Nice To Haves

Bachelor's degree from an accredited institution.
National professional coding certification, such as Certified Professional Coder (CPC) or Certified Coding Specialist (CCS); must be obtained within one year of hire.
Two years of coding or auditing experience in a professional, facility, or health plan environment.
Excellent organizational, analytical, and communication skills.
Ability to establish and maintain rapport with coworkers, physicians, and other health care providers.
Ability to perform tasks independently with minimal supervision.
Sound judgment and decision-making skills.
Experience with government programs such as Medicare, Medicaid, or ACA.

Responsibilities

Review pre-payment claims to monitor billing practices and ensure accurate coding and reimbursement based on contracts, payment methodologies, and applicable state and federal regulations.
Ensure review decisions comply with Employee Retirement Income Security Act (ERISA) standards.
Log provider appeals and send correspondence to providers regarding submitted appeals.
Serve as a consultant to SelectHealth and Intermountain Healthcare departments, including physicians and facilities; engage and communicate one-on-one with physicians and offices and provide training.
Support higher-level analysts with their responsibilities and research, and effectively manage workload and responsibilities.
Maintain subject-matter expertise and educate providers and staff.
Ensure compliance with coding regulations across provider specialties and coding methodologies, including inpatient, outpatient, ambulatory surgery center, drug and biological, laboratory and genetics, home health, DME, and other claim types.
Ensure compliance with state and federal regulations that vary by state and line of business.