Coding & Reimbursement Analyst

Patient First; Richmond (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 (with employer

Paid Annual Leave

Volunteer Time Off Pay

Bereavement Leave

Holiday Pay

Discounted medical treatment for staff

Recruitment bonus

Job summary

Patient First is seeking a certified medical coder/auditor to review physician charts, provide feedback, and coordinate coding training on ICD-10 and E&M. The role ensures coding accuracy per industry standards and payer guidelines, with opportunities to participate in audits and cross-department support.

Required credentials include CPC or CCS-P, CPMA a plus, plus strong terminology and compliance knowledge.

Qualifications

• Certified CPC, CCS-P or equivalent credential required.
• CPMA credential a plus.
• Firm understanding of medical terminology.
• Strong understanding of compliance laws.
• Ability to work independently and as part of a team.
• Excellent written and verbal communication skills.
• Excellent computer skills, including Microsoft Office.
• Two years’ experience in a medical facility preferred.
• Two years’ medical coding and auditing experience preferred.
• Ability to prioritize and multitask.
• Ability to sit for up to 8 hours at a time.

Responsibilities

• Completing a periodic review of Physicians’ and Physician Extenders’ charts.
• Preparing and distributing feedback after the review.
• Coordinating and providing training on E&M and ICD-10 coding as needed.
• Ensuring ICD-10, CPT (including E&M), and HCPCS coding is performed properly.
• Ensuring coding aligns with industry standards and payer guidelines.
• Monitoring coding guideline changes and reporting to Compliance Coding Committee.
• Assisting with implementation of changes.
• Attending Coding Compliance Committee meetings and training classes.
• Performing occasional audits and supporting other departments on coding questions.
• Performing other duties as assigned.

Skills

Medical coding

Compliance knowledge

Verbal communication

Written communication

Education

Certified Professional Coder (CPC)

Certified Coding Specialist – Physician-based (CCS-P)

Certified Professional Medical Auditor (CPMA)

Tools

Microsoft Office

Job description

Responsibilities

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.

Education and Professional Requirements

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

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

About Patient First

Since opening our first medical center in 1981, Patient First's vision remains the same: making access to quality medical care as convenient and cost-effective as possible. To achieve this objective, we have adopted and continue to embrace many innovative operating systems and practices. All 78 Patient First centers in the mid-Atlantic region are open every day of the year- including weekends and holidays. Patient First provides both primary and urgent care services as well as a broad range of Occupational Health services. X-rays, lab tests, and prescription drugs are available on-site to save time and reduce the need for extra trips. Patient First offers excellent benefits packages, flexible hours, and competitive compensations for Nurses, Lab and Radiologic Technologists, Medical Assistants, and Front Office staff. Medical candidates with at least 1-2 years of experience in a physician's office or hospital setting are preferred.