Medical Coding Analyst - Inpatient - Work at Home Job in Temple, Texas

Job Description:

Through review of client claims data, the analyst will identify areas of missed coding or charges as they apply to hospital reimbursement practices. Proprietary company software is used in conjunction with client participation to present findings of claims and propose recommended solutions for improved billing outcomes. Internally, the Medical Coding Analyst works closely with team members to continually improve process and keep coding and billing changes up to date within company knowledge bank. The Analyst also provides support and education for the charge accuracy tool to the clients.  The Analyst may work closely with IT, Finance, Billing, Hospital Staff and executives and must have the ability to prioritize multiple projects while meeting goals and deadlines.  The Charge Accuracy Analyst must stay up to date with CMS and coding guidelines and regulations, as well as, communicate these changes to help keep the charge accuracy tool working effectively.

Following hire the Analyst will successfully complete training that includes application of coding and charging knowledge to company specific analytics. Training is generally remote but may be done onsite when necessary.

This position requires some travel, frequency may vary.

Job Responsibilities:

• Review post edit claims data to analyze potential charge errors.
• Understand payer contracts as defined within AppRev tool to assess projected value of charge corrections.
• Audit & suggest correct coding for inpatient and outpatient diagnosis and procedure codes, with and/or without access to the medical record.
• Research payer standards and regulations including CMS transmittals and LCD coverage exceptions.
• Understands & applies workflows and actionable items for both administrative and end user’s in proprietary charge accuracy software.
• Acts as support to end user for general troubleshooting of charge accuracy software.
• Present training materials via WebEx to new and existing end users of Charge Accuracy tool.
• Host monthly meetings with clients to provide consulting on charge errors and methods of correction and best practices.
• Participate in cross training sessions with team members.
• Identifies product or process issues and communicates effectively to appropriate staff.
• Records work assignments and tracks deliverables.
• Maintains coding and billing knowledge through education and certification requirements.

Required Certification

• Current coding certificate from AHIMA CCS, CCS-P or RHIA, RHIT or AAPC certifications including CPC, CIC, COC. Credentials are required to be maintained during employment.

Required Knowledge and Skills:

The ideal candidate will have the following experience and skills;

• Strong working knowledge of Inpatient and/or Outpatient hospital coding. 3-5 years preferred including OR procedures.
• Experience in hospital billing practices, audits, denials or charging.
• Proficiency in Microsoft office suite products including Excel.
• Demonstrates professionalism required to work with multiple levels of management.
• Excellent verbal and written communication skills.
• Independence when working in multiple software systems with minimal IT support.
• Ability to navigate new software with minimal training.
• Hands-on attitude with the desire to support team members and proactively share ideas and knowledge.

Additional Preferred Knowledge and Skills:

• Supporting software conversion processes
• Inpatient or outpatient coding auditor
• Creation and presentation of education materials for coder, physician or other healthcare professionals.
• Data Analytics