Coding & Reimbursement Analyst

Patient First•Glen Allen, VA

3d•Onsite

About The Position

The responsibilities of this job include, but are not limited to, completing a periodic review of Physicians’ and Physician Extenders’ charts, preparing and distributing feedback to Physicians and Physician Extenders after the review process is completed, coordinating and providing additional training to Physicians and Physician Extenders on E&M and ICD-10 coding as needed. This role ensures ICD-10, CPT (including E&M), and HCPCS coding is performed properly by Physicians and Physician Extenders according to current industry standards and according to commercial payers’ coding guidelines. The analyst will monitor changes in ICD-10, CPT (including E&M), and HCPCS coding guidelines regularly, reporting changes to the Compliance Coding Committee, and assisting with implementation of changes. The position requires attending Coding Compliance Committee meetings and training classes and seminars. Occasional audits, both routinely and when necessary to identify problem areas, will be performed. The analyst will also assist other departments with coding-related questions and perform other duties as assigned.

Requirements

Employee must be 18 years of age or older
Certified Professional Coder (CPC), Certified Coding Specialist – Physician-based (CCS-P), or equivalent credential required
Firm understanding of medical terminology
Strong understanding of the laws regarding compliance
Ability to work independently and as part of a team
Excellent written and verbal communication skills
Excellent computer skills, including Microsoft Office applications
Ability to prioritize and multitask
Ability to sit for up to 8 hours at a time

Nice To Haves

Certified Professional Medical Auditor (CPMA) credential a plus
Two years’ experience working in a medical facility preferred
primary care physician (PCP) practice a plus
Two years’ medical coding experience preferred
Two years’ medical auditing experience preferred

Responsibilities

Completing a periodic review of Physicians’ and Physician Extenders’ charts
Preparing and distributing feedback to Physicians and Physician Extenders after the review process is completed
Coordinating and providing additional training to Physicians and Physician Extenders on E&M and ICD-10 coding as needed
Ensuring ICD-10, CPT (including E&M), and HCPCS coding is performed properly by Physicians and Physician Extenders
Ensuring the coding is performed according to current industry standards and according to commercial payers’ coding guidelines
Monitoring changes in ICD-10, CPT (including E&M), and HCPCS coding guidelines regularly, reporting changes to the Compliance Coding Committee, and assisting with implementation of changes
Attending Coding Compliance Committee meetings
Attending training classes and seminars
Performing occasional audits, both routinely and when necessary to identify problem areas
Assisting other departments with coding-related questions
Performing other duties as assigned

Benefits

Health, Dental and Vision insurance for employees and dependents
Disability, Life and Long Term care insurance
Employee Assistance Program
Flexible Spending accounts
401(k) Retirement Plan (with employer match)
Paid Annual Leave
Volunteer Time Off Pay
Bereavement Leave
Emergency Leave Bank
Holiday Pay
Discounted medical treatment at any Patient First location for employees and immediate family
Recruitment bonus