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Essentia Health in Fargo is seeking a Coding Quality and Denials Analyst to analyze defective charges or accounts and identify coding issues affecting insurance claims. You will work with staff to resolve issues timely, using ICD-10, CPT and HCPCS knowledge and awareness of billing regulations, to improve denials management.
You will analyze data, manage work queues, and report outcomes, with opportunities to lead special coding or billing projects as requested.
Fargo Distribution Serv Center
1006230 CODING QUALITY AND DENIALS - EH SS
Responsible for analyzing problematic charges or accounts to determine if there are coding issues that prevent the successful processing of insurance claims. Works with staff to assure accurate, timely resolution of coding issues. Uses ICD-10, CPT and HCPCS coding and billing knowledge, and awareness of state and federal billing regulations, to recommend and assist in implementing methods for improving coding, billing, and denials management processes. Responsible for, analyzing data, working work queues, and reporting outcomes. Upon request, performs special projects related to coding, denials or billing.
Work Experience:
2 years experience coding with ICD-10, CPT and HCPCS.
Associate degree in health information management, healthcare, business or related field of study.
Required Qualifications:
Certification/Licensure Requirements:
*Applicable credentialing required within 2 years of date of hire.
1
Possible Remote/Hybrid Option:
Remote
Day Rotation (United States of America)
8:00 AM
5:00 PM
No
No
Compensation Range:
$23.76 - $35.64
Employee Benefits at Essentia Health:At Essentia Health, we’re committed to supporting your well-being, growth, and work-life balance. Our comprehensive benefits include medical, dental, vision, life, and disability insurance, along with supplemental options to fit your needs. We offer a 401(k) plan with employer contributions to help you plan for the future, and we invest in your professional development through training, tuition reimbursement, and educational programs. To help you thrive both at work and at home, we provide flexible scheduling, generous time off, and wellness resources focused on your physical, mental, and emotional health. Please note that benefit eligibility may vary. For full details, refer to your benefit summary or contact our HR Service Center at (218) 576-0000.