Coding & Reimbursement Analyst

Patient First; Glen Allen (VA); On-site; USD 56,000 - 66,000; Full time

Benefits offered by this job

Health, Dental and Vision insurance

Disability, Life and Long Term care 보험

401(k) Retirement Plan (employer match

Paid Annual Leave, Volunteer Time Off,

Holidays

Discounted medical treatment

Job summary

Patient First in Glen Allen, VA is seeking a coding auditor to review physicians’ charts and provide feedback. The role includes training on E&M and ICD-10 coding, ensuring accuracy of ICD-10, CPT, and HCPCS coding, and staying current with coding guideline changes.

Requires CPC/CCS-P; CPMA a plus; 2+ years coding and auditing experience preferred. Responsibilities include attending Compliance Coding Committee meetings, audits, and cross-department support.

Qualifications

• Must hold CPC or CCS-P or equivalent credential.
• Two years of medical coding experience preferred.
• Two years of medical auditing experience preferred.
• Ability to work independently and as part of a team.
• Excellent written and verbal communication skills.
• Strong computer skills including Microsoft Office applications.

Responsibilities

• Complete periodic review of Physicians’ and Physician Extenders’ charts.
• Prepare and distribute feedback after reviews.
• Provide training on E&M and ICD-10 coding as needed.
• Ensure ICD-10, CPT (E&M), and HCPCS coding correctness.
• Monitor coding guideline changes and inform Compliance Coding Committee.

Skills

Medical coding

Medical auditing

Communication skills

Teamwork

Independent work

Microsoft Office

Multitasking

Education

CPC

CCS-P

CPMA

Tools

Microsoft Office

Job description

The responsibilities of this job include, but are not limited to the following:

• Completing a periodic review of Physicians’ and Physician Extenders’ charts;
• Preparing and distributing feedback to Physicians and Physician Extenders after the review process is completed;
• Coordinating and providing additional training to Physicians and Physician Extenders on E&M and ICD-10 coding as needed;
• Ensuring ICD-10, CPT (including E&M), and HCPCS coding is performed properly by Physicians and Physician Extenders;
• Ensuring the coding is performed according to current industry standards and according to commercial payers’ coding guidelines;
• Monitoring changes in ICD-10, CPT (including E&M), and HCPCS coding guidelines regularly, reporting changes to the Compliance Coding Committee, and assisting with implementation of changes;
• Attending Coding Compliance Committee meetings;
• Attending training classes and seminars;
• Performing occasional audits, both routinely and when necessary to identify problem areas;
• Assisting other departments with coding-related questions;
• Performing other duties as assigned.

Minimum education and professional requirements include, but are not limited to, the following:

• Employee must be 18 years of age or older;
• Certified Professional Coder (CPC), Certified Coding Specialist – Physician-based (CCS-P), or equivalent credential required;
• Certified Professional Medical Auditor (CPMA) credential a plus;
• Firm understanding of medical terminology;
• Strong understanding of the laws regarding compliance;
• Ability to work independently and as part of a team;
• Excellent written and verbal communication skills;
• Excellent computer skills, including Microsoft Office applications;
• Two years’ experience working in a medical facility preferred; primary care physician (PCP) practice a plus;
• Two years’ medical coding experience preferred;
• Two years’ medical auditing experience preferred;Ability to prioritize and multitask;
• Ability to sit for up to 8 hours at a time.

Salary Range: $56,000 - $66,000 annually, depending on experience.

Benefits and Other Compensation:

• Health, Dental and Vision insurance for employees and dependents
• Disability, Life and Long Term care insurance
• Employee Assistance Program, Flexible Spending accounts, 401(k) Retirement Plan (with employer match)
• Paid Annual Leave, Volunteer Time Off Pay, Bereavement Leave, Emergency Leave Bank
• Holiday Pay
• Discounted medical treatment at any Patient First location for employees and immediate family

Bonuses include:

• Recruitment bonus