Reimbursement Analyst (4356) REIMBURSEMENT CORP OFFICE

Lexington ClinicLexington, KY
Onsite

About The Position

The Reimbursement Analyst ensures compliance with federal regulations through the Health Care Financing Administration; interacts directly with physicians and support staff through continuing education to facilitate proper usage of procedural and diagnostic codes in order to maximize reimbursement; communicates with patients regarding UCR questions; performs annual chart audits; reviews and reports claim denial patterns; maintains professional growth and development through bulletins, educational programs, specialty conferences and workshops.

Requirements

  • High school diploma or equivalent.
  • Completion of medical record terminology course.
  • Minimum of two years experience with ICD-9 and CPT coding and reimbursement activities.
  • Knowledge of third party fee profiles and reimbursement mechanisms.

Nice To Haves

  • CPC certification preferred.

Responsibilities

  • Ensures compliance with federal regulations through the Health Care Financing Administration.
  • Interacts directly with physicians and support staff through continuing education to facilitate proper usage of procedural and diagnostic codes in order to maximize reimbursement.
  • Communicates with patients regarding UCR questions.
  • Performs annual chart audits.
  • Reviews and reports claim denial patterns.
  • Maintains professional growth and development through bulletins, educational programs, specialty conferences and workshops.
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