Coding Associate Analyst II

Essentia Health; North Dakota; Remote; USD 33,000 - 50,000; Full time

Benefits offered by this job

Medical, dental, vision, life, and DIS

401(k) plan with employer contribution

Tuition reimbursement and professional

Flexible scheduling

Generous time off

Job summary

Essentia Health is seeking a Coding Quality and Denials Analyst in Fargo to analyze problematic charges and determine coding issues affecting insurance claims. You will work with staff to resolve coding problems promptly, using ICD-10, CPT and HCPCS knowledge while adhering to state and federal billing rules.

Responsibilities include data analysis, queue management, and reporting outcomes; you may lead special coding or billing projects as needed.

Qualifications

• 2 years experience coding with ICD-10, CPT and HCPCS.
• AHIMA/CPC credentials within 2 years of hire are required or applicable credential within 2 years.
• Knowledge of state and federal billing regulations; awareness of denials management.

Responsibilities

• Analyze problematic charges or accounts to identify coding issues that hinder claim processing.
• Collaborate with staff to ensure accurate and timely resolution of coding issues.
• Apply ICD-10, CPT and HCPCS coding knowledge to improve coding, billing, and denials management processes.
• Analyze data, manage work queues, and report outcomes to stakeholders.
• Perform special projects related to coding, denials, or billing as requested.

Skills

ICD-10 coding

CPT coding

HCPCS coding

Data analysis

Education

Associate degree in health information management or related field

Job description

Building Location:Fargo Distribution Serv CenterDepartment:1006230 CODING QUALITY AND DENIALS - EH SSJob Description: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.Education Qualifications:Associate degree in health information management, healthcare, business or related field of study.Required Qualifications:2 years experience coding with ICD-10, CPT and HCPCSLicensure/Certification Qualifications:Certification/Licensure Requirements:AHIMA credential (RHIA (Registered Health Information Administrator), RHIT (Registered Health Information technician), CCS (Certified Coding Specialist), CPC -H (Certified Professional Coder – Hospital))AAPC credential (CPC (Certified Professional Coder)*Applicable credentialing required within 2 years of date of hire.FTE:1Possible Remote/Hybrid Option:RemoteShift Rotation:Day Rotation (United States of America)Shift Start Time:8:00 AMShift End Time:5:00 PMWeekends:Holidays:NoCall Obligation:NoUnion:Union Posting Deadline:Compensation Range:$23.76 - $35.64Employee 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 [phone].