Government Programs Coding Specialist - Claims & Compliance

Intermountain Healthcare Inc.; United States; Remote; USD 43,000 - 67,000; Full time

Job summary

Intermountain Healthcare Inc. is seeking a Coding Analyst I for SelectHealth to provide expertise across professional, facility, and drug code sets for government programs like Medicare, Medicaid, and ACA.

The role reviews claims, monitors provider appeals, and communicates with physicians and facilities. The position requires strong Microsoft Office skills and experience in coding, with emphasis on ERISA standards and regulatory compliance.

Qualifications

• Associate degree from an accredited institution. Education will be verified.
• Two years of work experience in coding, healthcare, or in a health plan environment.
• Demonstrated Intermediate level experience with Microsoft Office applications.
• Demonstrated excellent written and verbal communication and presentation skills.

Responsibilities

• Reviewing claims (pre-payment) to monitor billing practices and ensure accurate coding and reimbursement based on contracts, payment methodologies and regulations.
• Ensures review decisions are in line with ERISA standards.
• Logging provider appeals and sends correspondence to providers on submitted appeals.
• Serving as a consultant to various other departments within Select Health and Intermountain Healthcare.
• Supporting higher level analysts in their responsibilities and research.

Skills

Medical Billing and Coding

Claims Processing

Customer Service

Critical Thinking

Documentation

Time Management

Communication Verbal and Written

Attention to Detail

ICD Coding

Electronic Medical Records (EMR)

Education

Bachelor’s Degree

National professional coding certification (CPC/CCS)

Tools

Microsoft Office applications

Job description

Intermountain Healthcare Inc. is seeking a Coding Analyst I for SelectHealth to provide expertise across professional, facility, and drug code sets for government programs like Medicare, Medicaid, and ACA.

The role reviews claims, monitors provider appeals, and communicates with physicians and facilities. The position requires strong Microsoft Office skills and experience in coding, with emphasis on ERISA standards and regulatory compliance.