Coding Analyst

Intermountain Health

2d • $31 - $48

About The Position

The Coding Analyst I for SelectHealth provides general expertise in the areas of all areas of coding (professional, facility (inpatient and outpatient), drug, Durable Medical Equipment (DME), and lab code sets) for highly-regulated, government insurance programs such as Medicare, Medicaid, Affordable Care Act (ACA), Children's Health Insurance Program (CHIP), Federal Employees Health Benefit (FEHB) program, and self-funded plans with unique plan designs, reimbursement, compliance initiatives, regulatory legislation, and billing practices. This analyst reviews claims and monitors provider appeals including sending correspondence to providers. We are committed to offering flexible work options where approved and stated in the job posting. However, we are currently not considering candidates who reside or plan to reside in the following states: California, Connecticut, Hawaii, Illinois, New York, Pennsylvania, Rhode Island, Vermont, and Washington. Please note that a video interview through Microsoft Teams will be required as well as potential onsite interviews and meetings.

Requirements

• Associate degree from an accredited institution. Education will be verified -or - Two years of work experience in coding, healthcare, or in a health plan environment.
• Demonstrated Intermediate level experience with Microsoft Office applications.
• Demonstrated excellent written and verbal communication and presentation skills.
• Medical Billing and Coding
• Claims Processing
• Customer Service
• Critical Thinking
• Documentation
• Time Management
• Communication Verbal and Written
• Attention to Detail
• ICD Coding
• Electronic Medical Records (EMR)

Nice To Haves

• Bachelor's Degree from an accredited institution. Education will be verified.
• National professional coding certification (e.g., Certified Professional Coder (CPC), 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.
• Demonstrated ability to establish and maintain rapport with co-workers, physicians, and other health care providers.
• Demonstrated ability to perform tasks independently and with minimal supervision.
• Demonstrated sound judgment and decision-making skills.
• Experience with Government programs (Medicare, Medicaid, or ACA)

Responsibilities

• Reviewing claims (pre-payment) to monitor billing practices and ensure accurate coding and reimbursement based on specific contracts, payment methodologies and state and federal regulations that vary by geography and lines of business
• Ensures review decisions are in line with Employee Retirement Income Security Act (ERISA) standards.
• Logging provider appeals and sends correspondence to providers on submitted appeals.
• Serving as a consultant to various other departments within Select Health and departments within Intermountain Healthcare including physicians and facilities. Does require one on one physician and/or office engagement and communication and training.
• Supporting higher level analysts in their responsibilities and research.
• Effectively managing workload and responsibilities.
• Maintaining subject-matter expertise and educates providers and staff accordingly.
• Responsible for compliance with all coding regulations for all provider specialties (surgical and non-surgical) and coding methodologies (including inpatient (Non DRG and DRG), outpatient (APC and non- APC), Ambulatory Surgical Centers (ASC), drugs and biologicals, lab and genetics, home health, DME and any other type of claim we may receive.
• Responsible for compliance with all regulations: State and federal regulations vary by state and line of business.

Benefits

• We care about your well-being – mind, body, and spirit – which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged.
• Learn more about our comprehensive benefits package here.
• Intermountain Health’s PEAK program supports caregivers in the pursuit of their education goals and career aspirations by providing up-front tuition coverage paid directly to the academic institution. The program offers 100+ learning options to choose from, including undergraduate studies, high school diplomas, and professional skills and certificates. Caregivers are eligible to participate in PEAK on day 1 of employment.
• Learn more.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: Associate degree
• Number of Employees: 5,001-10,000 employees