Coding and Reimbursement Analyst

1 week ago

Glen Allen, United States PatientFirst Full time
The responsibilities of this job include, but are not limited to the following:
  • Completing a periodic review of Physicians' and Physician Extenders' charts;
  • Preparing and distributing feedback to Physicians and Physician Extenders after the review process is completed;
  • Coordinating and providing additional training to Physicians and Physician Extenders on E&M and ICD-10 coding as needed;
  • Ensuring ICD-10, CPT (including E&M), and HCPCS coding is performed properly by Physicians and Physician Extenders;
  • Ensuring the coding is performed according to current industry standards and according to commercial payers' coding guidelines;
  • Monitoring changes in ICD-10, CPT (including E&M), and HCPCS coding guidelines regularly, reporting changes to the Compliance Coding Committee, and assisting with implementation of changes;
  • Attending Coding Compliance Committee meetings;
  • Attending training classes and seminars;
  • Performing occasional audits, both routinely and when necessary to identify problem areas;
  • Assisting other departments with coding-related questions;
  • Performing other duties as assigned.

Minimum education and professional requirements include, but are not limited to, the following:
  • Employee must be 18 years of age or older;
  • Certified Professional Coder (CPC), Certified Coding Specialist - Physician-based (CCS-P), or equivalent credential required;
  • Certified Professional Medical Auditor (CPMA) credential a plus;
  • Firm understanding of medical terminology;
  • Strong understanding of the laws regarding compliance;
  • Ability to work independently and as part of a team;
  • Excellent written and verbal communication skills;
  • Excellent computer skills, including Microsoft Office applications;
  • Two years' experience working in a medical facility preferred; primary care physician (PCP) practice a plus;
  • Two years' medical coding experience preferred;
  • Two years' medical auditing experience preferred;
  • Ability to prioritize and multitask;
  • Ability to sit for up to 8 hours at a time.
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