Coding & Reimbursement Analyst

Patient First•Glen Allen, VA
•$56,000 - $66,000•Onsite

About The Position

The Coding & Reimbursement Analyst is responsible for ensuring accurate and compliant coding practices within the organization. This role involves reviewing medical charts, providing feedback and training to physicians and physician extenders, and staying updated on coding guidelines and regulations. The analyst will also perform audits, assist other departments with coding-related questions, and contribute to the implementation of coding changes.

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
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