Reimbursement Coordinator-Corporate Reimbursement/Coding-Full Time

Guthrie Enterprise • Sayre, PA

3d

About The Position

The Reimbursement Coordinator reviews clinical documentation and assigns accurate CPT, ICD-10, and modifier codes. The role codes multispecialty services, including procedures, evaluation and management, and ancillary procedures, and works variance coding workqueues. The coordinator provides technical expertise on documentation guidelines, coding, and reimbursement, collaborating with providers, operational managers, and the CBO to coordinate, implement, and support billing and coding processes.

The position performs coding and reimbursement assessments to support accurate revenue capture, communicates results of quality coding and documentation reviews, and helps ensure claims comply with applicable regulations and payer guidelines. This is a full-time, day-shift position.

Requirements

• High school diploma or equivalent required.
• Proficient knowledge of Medicare, Medicaid, and other third-party payer coding and billing regulations.
• Strong knowledge of CPT, ICD-10-CM, and HCPCS coding systems and guidelines.
• Knowledge of medical terminology, anatomy, and physiology.
• CPC certification must be obtained within 18 months of hire.

Nice To Haves

• A degree in Health Information Technology.
• RHIA, RHIT, CCS, or CPC certification.

Responsibilities

• Review clinical documentation and manually assign appropriate CPT, ICD-10, and modifier codes for provider services.
• Work coding edits daily and assign appropriate codes to support timely and accurate revenue capture.
• Perform clinical and coding reimbursement assessments and recommend actions to providers, staff, and leadership partners.
• Communicate results of quality coding and documentation reviews to involved parties.
• Maintain working knowledge of payer regulations and third-party guidelines.
• Perform special audits upon request to analyze billing activity.
• Ensure applicable regulations are met and claims are submitted accurately to payers.
• Code multispecialty services, including procedures, evaluation and management, and ancillary procedures, and work variance coding workqueues.
• Coordinate, implement, and support billing and coding processes in collaboration with providers, operational managers, and the CBO.
• Contribute to a team environment and maintain confidentiality regarding patient accounting.
• Perform other duties as assigned.

Benefits

• Voluntary 403(b) retirement plan with Fidelity investment options.
• Employee Assistance Program offering confidential personal and professional well-being support.
• Shift differentials and premiums for evenings, nights, weekends, and float coverage.
• Friendly, inclusive work environment.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED