Coding Reimbursement Analyst

Olmsted Medical Group; Rochester (MN); On-site; USD 48,229 - 72,351; Full time

Benefits offered by this job

Medical Insurance

Vision Insurance

Basic Life Insurance

Tuition Reimbursement

Employer Paid Short-Term Disability

Employer Paid Long-Term Disability

Adoption Assistance Plan

Job summary

Olmsted Medical Group in Rochester, MN is seeking a certified medical coder. The role requires CPC or CCS certification, strong medical terminology knowledge, and experience with ICD-10, CPT, HCPCS, and DRG coding.

Two years of healthcare experience and solid payer knowledge are essential. The position offers benefits including insurance and tuition reimbursement. You will collaborate across teams, support denial management, and stay current with coding guidelines.

Qualifications

• CPC or CCS certification required.
• Knowledge of medical terminology and anatomy required.
• ICD-10, CPT, HCPCS, and DRG coding experience required.
• Experience with third party payers, Medicare Parts A & B, and state-funded programs required.
• Minimum of two years of healthcare experience required.
• Strong interpersonal and communication skills.
• Demonstrated analytical skills.
• Strong understanding of coding concepts.
• Proven organization, documentation, and communication skills.

Responsibilities

• Assists coding management in development, coordination, and implementation of enhancements for the departments.
• Actively participates as a member of various teams and committees.
• Steps “out of the box” by thinking creatively and bringing forth new ideas and suggestions to management.
• Attends education and training seminars.
• Manages assigned work list for account denials and insurance inquiries for professional and technical components.
• Works closely with patient account representatives in denial reversal and the appeal process.
• Works closely with the Reimbursement department.
• Remains current on insurance payer guidelines by reviewing monthly news bulletins.
• Attends available training to remain current with coding guidelines.
• Monitors denial frequency and trending to assist in organizational denial management, working closely with the business analysts.
• Reports finds and progress to the Insurance and Reimbursement departments.
• Works with various payers on risk adjustment analysis.
• Other duties as assigned.

Skills

CPC Certification

CCS Certification

Medical terminology

Anatomy knowledge

ICD-10 coding

CPT coding

HCPCS coding

DRG coding

Payer knowledge

Two years healthcare experience

Interpersonal communication

Analytical skills

Documentation skills

Coding concepts

Job description

Starting Pay - $35.01 to $52.52 (based on experience)

Offers for external candidates are generally made between the minimum and midpoint of the range, based on experience.

At Olmsted Medical Center, we value our employees and are committed to providing a comprehensive and competitive benefits package. To keep up with the evolving trends, Olmsted Medical Center offers the following for employees who are employed at a 0.5 FTE or higher.

• Medical Insurance
• Vision Insurance
• Basic Life Insurance
• Tuition Reimbursement
• Employer Paid Short-Term Disability and Long-Term Disability
• Adoption Assistance Plan

Qualifications:

• CPC or CCS certification required
• Knowledge of medical terminology and anatomy required
• ICD-10, CPT, HCPCS, and DRG coding experience required
• Experience with third party payers, Medicare Parts A & B, and state-funded programs required
• Minimum of two years of healthcare experience required
• Strong interpersonal and communication skills
• Demonstrated analytical skills
• Strong understanding of coding concepts
• Proven organization, documentation, and communication skills

Job Responsibilities:

• Assists coding management in development, coordination, and implementation of enhancements for the departments.
• Actively participates as a member of various teams and committees.
• Steps “out of the box” by thinking creatively and bringing forth new ideas and suggestions to management.
• Attends education and training seminars.
• Manages assigned work list for account denials and insurance inquiries for professional and technical components.
• Works closely with patient account representatives in denial reversal and the appeal process.
• Works closely with the Reimbursement department.
• Remains current on insurance payer guidelines by reviewing monthly news bulletins.
• Attends available training to remain current with coding guidelines.
• Monitors denial frequency and trending to assist in organizational denial management, working closely with the business analysts.
• Reports finds and progress to the Insurance and Reimbursement departments.
• Works with various payers on risk adjustment analysis.
• Other duties as assigned.

Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
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