Certified Coder/Denial Analyst

Hannibal Regional; Hannibal (MO); Hybrid; USD 32,000 - 51,000; Full time

Benefits offered by this job

Hybrid work arrangement

Remote 1-2 days per week

Job summary

Hannibal Regional is seeking a hybrid opportunity coder- reviewer to perform a comprehensive review of denied visits, ensuring accurate billing, proper reimbursement, and complete data capture. You will collaborate with the coding and billing departments to stay compliant with all guidelines and regulations.

The ideal candidate holds a high school diploma and a current coding certification (AHIMA/AAPC or RHIT/RHIA) with coding experience, and possesses strong analytical skills to interpret

Qualifications

• High School Diploma or equivalent required.
• Current coding certification through AHIMA or AAPC, or RHIT/RHIA with coding experience required.
• Thorough knowledge of prospective payment systems (PPS).
• Knowledge of ancillary testing (lab, x-ray, EKG).
• Understanding of ethical coding practices and guidelines.
• Knowledge of third-party reimbursement policies.

Responsibilities

• Perform comprehensive review of the denied visit.
• Ensure accurate billing and reimbursement and completed data capture.
• Stay within departmental guidelines, rules, regulations and all billing requirements.

Skills

Analytical thinking

Problem-solving

Confidentiality

Cross-functional collaboration

Attention to detail

Strong communication

Education

High School Diploma

Coding certification (AHIMA/AAPC or RHIT/RHIA)

Tools

Encoding systems

Various software programs

Job description

HYBRID OPPORTUNITY (REMOTE 1-2 DAYS/WEEK)***

Minimum hourly rate $22.95, Maximum $36.66, based on experience

Collaborates with coding and billing department to perform a comprehensive review of the denied visit. The comprehensive review should ensure accurate billing and reimbursement and completed data capture. Stays within departmental guidelines, rules, regulations and all billing requirements.

• High School Diploma or equivalent required
• Current coding certification through AHIMA (American Health Information Management Association) or AAPC (American Academy of Professional Coders), or RHIT/RHIA with coding experience required
• Thorough knowledge of the related prospective payments systems (PPS)
• Knowledge of ancillary testing (laboratory, x-ray, EKG)
• Knowledge of anatomy, physiology and medical terminology
• Understanding of ethical coding practices and guidelines
• Knowledge of applicable federal, state and laws and regulations
• Knowledge of all aspects of third-party reimbursement policies and practices
• Excellent analytical and problem-solving skills
• Ability to assess and evaluate complex financial data
• Ability to maintain cooperative, working relationships, maintain friendly positive attitude, and the ability to maintain confidentiality
• Proficiency with computer applications, encoding system and ability to learn various software programs required