Coding Reimbursement Analyst

Olmsted Medical Center•Rochester, MN

1d•Onsite

About The Position

Olmsted Medical Center is seeking a Coding Reimbursement Analyst to join their team. This is a full-time, day shift position with a starting pay range of $35.01 to $52.52 per hour, based on experience. The role involves assisting coding management, participating in teams and committees, managing denial work lists, collaborating with patient account representatives and the Reimbursement department, staying current on payer guidelines and coding updates, monitoring denial trends, and performing risk adjustment analysis. The position requires strong analytical, organizational, and communication skills, along with a solid understanding of coding concepts and healthcare experience.

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

Responsibilities

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.
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.