Coder Review Analyst - Fully Remote (84227)

Paycom - ATS; Fergus Falls (MN); Remote; USD 26,000 - 77,000; Full time

Job summary

Lake Region Healthcare is seeking a Coder Review Analyst in Fergus Falls, MN. The role involves researching, analyzing, and correcting coding related claims and denials, and collaborating with billing to resolve appeals.

Applicants should have HIM qualifications (RHIA/RHIT/CCS eligible) and coding experience; strong communication and computer skills are required. Remote work is available to residents of Minnesota, North Dakota, or South Dakota.

Qualifications

• Bachelor's or associate in HIM or related field with RHIA, RHIT, or CCS certification, or eligibility for obtaining RHIA/RHIT 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.

Responsibilities

• Research, analyze, and correct coding related claim, edits and denials; work with billing staff to create and resolve appeals, provide requested documentation to payers.

Skills

Coding experience

Certification eligibility

Communication skills

Education

Bachelor's or Associate in HIM or related field

Job description

Job Details

Lake Region Healthcare Corporation - FERGUS FALLS, MN 56537, Position Type: 80 Hours Biweekly, Salary Range: $25.01 - $37.17 Hourly, Remote work is available for candidates in Minnesota, North Dakota or South Dakota, only.

Responsibilities

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 on 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/Shifts

80 hours biweekly, 8am-5pm, Monday-Friday. This is a fully remote role available to candidates in Minnesota, North Dakota or South Dakota, only.

Compensation

Hourly wage range: $25.01-$37.17/hour. Please note that final compensation will be determined based on experience, qualifications and internal equity considerations.

Benefit Offerings

Lake 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.

• 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.

EEOC

Lake 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.

Qualifications

• 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.