Coding Analyst II (4359) REIMBURSEMENT CORPORATE OFFICE

Lexington Clinic•Lexington, KY

4d•Hybrid

About The Position

This position may be eligible for remote home work within Central Kentucky after an in office training period of up to six months. Remote work requires the employee to demonstrate position knowledge and aptitude, and requires achievement/maintenance of performance benchmarks. The Coding Analyst II, Advanced, ensures compliance with all coding regulations and conventions including those from the AMA, the Center for Medicare and Medicaid Services, as well as all non-Medicare commercial payers. Responsible for annual updates, and accuracy of all service forms; accurately completes all service forms using ICD-10/CPT/HCPCS codes in order to secure optimal reimbursement while remaining compliant with all coding regulations; codes surgical procedures directly from operative reports, maintains data on status of operative reports. Reviews claims and claim rules by department for judgment/action. Provides accurate price quotes to patients and staff; interacts directly with Coding Lead, Reimbursement Analysts, Auditors, and Data Entry to facilitate proper usage of ICD-10/CPT/HCPCS; assists analysts with physician and departmental projects; assists analysts with patient complaints and insurance denials; maintains professional growth and development through bulletins, educational programs, specialty conferences and workshops. Position is responsible for advanced level coding as defined by the Reimbursement Manager.

Requirements

Minimum of two years experience with ICD-10/CPT/HCPCS coding and reimbursement activities.
CPC certification required.

Nice To Haves

Formal training will probably be indicated by a high school diploma or equivalent.
Experience with Word and Excel computer programs preferred.
Completion of medical terminology course.

Responsibilities

Ensures compliance with all coding regulations and conventions including those from the AMA, the Center for Medicare and Medicaid Services, as well as all non-Medicare commercial payers.
Responsible for annual updates, and accuracy of all service forms.
Accurately completes all service forms using ICD-10/CPT/HCPCS codes in order to secure optimal reimbursement while remaining compliant with all coding regulations.
Codes surgical procedures directly from operative reports, maintains data on status of operative reports.
Reviews claims and claim rules by department for judgment/action.
Provides accurate price quotes to patients and staff.
Interacts directly with Coding Lead, Reimbursement Analysts, Auditors, and Data Entry to facilitate proper usage of ICD-10/CPT/HCPCS.
Assists analysts with physician and departmental projects.
Assists analysts with patient complaints and insurance denials.
Maintains professional growth and development through bulletins, educational programs, specialty conferences and workshops.
Responsible for advanced level coding as defined by the Reimbursement Manager.