Coding and Reimbursement Analyst

Olmstead Medical Center•Rochester, MN

49d•$34 - $43

About The Position

At Olmsted Medical Center, we value our employees and are committed to providing a comprehensive and competitive benefits package. To keep up with the evolving trends, Olmsted Medical Center offers the following for employees who are employed at a 0.5 FTE or higher. Medical Insurance Paid Time Off Dental Insurance Vision Insurance Basic Life Insurance Tuition Reimbursement Employer Paid Short-Term Disability and Long-Term Disability Adoption Assistance Plan

Requirements

CPC or CCS certification required
Knowledge of medical terminology and anatomy required
ICD-10, CPT, HCPCS, and DRG coding experience required
Experience with third party payers, Medicare Parts A & B, and state-funded programs required
Minimum of two years of healthcare experience required
Strong interpersonal and communication skills
Demonstrated analytical skills
Strong understanding of coding concepts
Proven organization, documentation, and communication skills

Nice To Haves

Epic certifications
HIM hospital coding experience preferred

Responsibilities

Builds and maintains Epic system for hospital coding.
Trains team members on Epic upgrades.
Creates and produces regular reports for department leadership.
Troubleshoots Epic system issues and makes necessary changes for resolution.
Assists coding management in development, coordination, and implementation of enhancements for the departments.
Actively participates as a member of various teams and committees.
Steps "out of the box" by thinking creatively and bringing forth new ideas and suggestions to management.
Attends education and training seminars as well as User Group meetings.
Manages assigned work list for account denials and insurance inquiries for professional and technical components.
Works closely with patient account representatives in denial reversal and the appeal process.
Works closely with the Reimbursement department.
Remains current on insurance payer guidelines by reviewing monthly news bulletins.
Attends available training to remain current with coding guidelines.
Monitors denial frequency and trending to assist in organizational denial management, working closely with the business analysts.
Reports finds and progress to the Insurance and Reimbursement departments.
Works with various payers on risk adjustment analysis.
Other duties as assigned.