Invasive Coding Analyst Ortho
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Job Location:
Roanoke, VA - USA
Monthly Salary:
Not Disclosed
Posted on:
4 hours ago
Vacancies:
1 Vacancy
Job Summary
Employment Status:
Full timeShift:
Day (United States of America)Facility:
2331 Franklin Rd - RoanokeRequisition Number:
R159966 Invasive Coding Analyst - Ortho (Open)How Youll Help Transform Healthcare:
The Invasive Coding Analyst identifies and analyzes denials determines solutions and implements corrections to result in accurate processing/payment of claims. Investigates denial and coding issues as it relates to services provided and associated charges. May require a strong working knowledge of multiple payers knowing payer specific policies and procedures in order to serve as subject matter expert. Makes important decisions and determination by the payers for claims. Works in a fast-paced office environment with high productivity and accuracy standards that requires focus and concentration on tedious details and research. Investigate and identify errors in billing coding or procedures relating to patient accounts.Collaboration with leadership in recommending solutions to management related to insurance issues departmental procedures and operations.
Retrieves and analyzes denial reports and provides recommendations based on findings.
The Invasive Coding Analyst
- May act as coding and billing expert and resource.
- Assists with denial reviews and creation of denial trending reports for management.
- Identifies coding-related revenue and reimbursement improvement opportunities for Orthopaedic Services and reports these findings to management.
- Consults with and provides education to physicians regarding clinical documentation as it relates to coding requirements.
- Investigate and identify errors in billing coding or procedures relating to patient accounts.
- Conducts analysis of complex accounts. Determines actions and completes action steps to resolve accounts.
- Serving as a subject matter expert and provides guidance to RCM Specialists.
- Collaboration with Orthopaedic Leadership in recommending solutions to management related to insurance issues departmental procedures and operations.
- Reports any erroneous processing trends by payer to management.
What We Require:
Education: High School education required.
Experience: Minimum of 3 years of demonstrated proficiency in coding required.
Licensure/certification: RHIT RHIA CCA CCS CPC or CPC-H required.
Other Minimum Qualifications: Effective oral and written communication skills. Must be a team player with intiative organizational skills analytical abilities detail oriented and have the ability to work independently. Maintains working knowledge of computer systems used for healthcare operations. Must be proficient with Word Excel and researching the web for coding and billing information. Must be able to provide own transportation for travel to other Carilion work sites.
This job description is only meant to be a representative summary of the major responsibilities and accountabilities performed by the incumbents of this job. The incumbents may be requested to perform job-related tasks other than those stated in this description.
Recruiter:
EMILY ALLENRecruiter Email:
For more information contact the HR Service Center at 1-.
Carilion Clinic is an Equal Opportunity Employer: We provide equal employment opportunities to all employees and applicants without regard to race color religion sex national origin age (40 or older) disability genetic information or veterans status. Carilion is a Drug-Free Workplace. For more information or for individuals with disabilities needing special assistance with our online application process contact Carilion HR Service Center at 8:00 a.m. to 4:30 p.m. Monday through Friday.
Required Experience:
IC
About Company
Carilion Clinic is a not–for–profit health care organization based in Roanoke, Va. Through our comprehensive network of hospitals, primary and specialty physician practices and other complementary services, we work together to provide quality care
