Coder Review Analyst - Fully Remote

Paycom - ATS; Fergus Falls (MN); Remote; USD 34,000 - 51,000; Full time

Benefits offered by this job

Medical and dental coverage

HSA/FSA/401k plans

EAP

Life and disability coverage

Pet insurance

ID theft protection

Legal services

Job summary

Lake Region Healthcare is seeking a Coder Review Analyst to research, analyze and correct coding-related claims, edits and denials. You will work closely with billing staff to prepare appeals and provide requested payer documentation while promoting coding accuracy and regulatory compliance.

The role requires RHIA/RHIT or CCS certification (or eligibility within six months) and strong communication skills. Remote work is available to candidates in Minnesota, North Dakota or South Dakota, with a

Qualifications

• Education in HIM or related field with RHIA/RHIT/CCS certification or eligibility within six months.
• Prefer experience in coding and familiarity with payer policies.
• Ability to communicate effectively, orally and in writing, and to operate computer equipment.

Responsibilities

• Research, analyze, and correct coding-related claims, edits and denials.
• Collaborate with billing staff to create and resolve appeals and provide documentation to payers.
• Identify opportunities to reduce denials by flagging edits in internal systems.
• Ensure coding complies with payer, state, and federal regulations.

Skills

ICD-10-CM coding

CPT coding

HCPCS coding

Analytical skills

Communication skills

Education

Bachelor's or Associate in HIM or related field

RHIA/RHIT or CCS certification or eligibility within 6 months

Job description

Remote work is available for candidates in Minnesota, North Dakota or South Dakota, only.The Coder Review Analyst will research, analyze, and correct coding related claim, edits and denials. This position works closely with billing staff to create and resolve appeals, provide requested documentation to payers, and other issues that arise. The Analyst will bring forward any possible edit opportunities within our internal systems to reduce denials, and will research and analyze payer policies ensuring our coding complies with payer, state, and federal regulations. This position works with Coding Management, presenting educational opportunities that arise based off information attained from aforementioned regulations and any ongoing trends that may arise. The incumbent will be responsible for applying ICD-10-CM, CPT, and HCPCS codes to claims based on guidelines and policies whether internal or external and will actively seek out educational opportunities to remain current with all regulations. Other duties as assigned by management.Hours/Shifts80 hours biweekly, 8am-5pm, Monday-Friday. This is a fully remote role available to candidates in Minnesota, North Dakota or South Dakota, only.CompensationHourly wage range: $25.01-$37.17/hour. Please note that final compensation will be determined based on experience, qualifications and internal equity considerations.Benefit OfferingsLake Region Healthcare is pleased to offer a comprehensive benefit program designed to meet your unique needs. This includes medical and dental coverage; HSA, FSA and 401k plans; EAP, life and disability coverage; voluntary accident, critical illness and hospital indemnity coverage; pet insurance, ID theft protection and legal services. For new employees, the effective date of coverage for most plans is the first of the month, following a 30-day waiting period.EEOCLake Region Healthcare provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.Requirements are representative of minimum levels of knowledge, skills, and/or abilities.Education/Special Skills: To perform in this position satisfactorily requires bachelors or associates in an HIM or related field with RHIA, RHIT, or CCS certification, or eligibility for obtaining RHIA/RHIT certification within six months of hire. Prefer experience in coding. Ability to communicate effectively both orally and in writing, and ability to operate computer equipment required.Successful completion of the pre-employment health screening process required.Must be able to attend the work site per schedule.