Reimbursement Coordinator-Corporate Reimbursement/Coding-Full Time

Guthrie; Sayre (Bradford County); On-site; USD 55,000 - 75,000; Full time

Benefits offered by this job

403(b) Retirement Plan

Employee Assistance Program

Shift Differentials

Friendly, Inclusive Work Family

Job summary

Guthrie in Sayre, PA is seeking a Reimbursement Coordinator to review clinical documentation and accurately assign CPT, ICD-10, and modifiers. You will code multispecialty services and serve as a subject matter expert on documentation guidelines, coding, and reimbursement, collaborating with providers, operational managers, and the CBO to support billing processes.

The role requires strong knowledge of Medicare and Medicaid regulations, CPT/ICD-10-CM, and HCPCS, plus the ability to translate

Qualifications

• Understanding Medicare, Medicaid, and third-party payer coding & billing rules
• Proficient knowledge of CPT, ICD‑10‑CM and HCPCS coding systems and guidelines
• Clinical documentation review for accurate coding and reimbursement
• Effective communication with providers and leadership on coding findings

Responsibilities

• Review clinical documentation to assign CPT, ICD‑10, and modifiers
• Code multispecialty services and works variance coding workqueues
• Perform reimbursement assessments and make recommendations
• Communicate coding review results to stakeholders
• Maintain knowledge of payor regulations and third‑party guidelines
• Contribute to audits of billing activity
• Ensure claims are submitted accurately to payers

Skills

Payer coding & billing knowledge

CPT/ICD-10-CM/HCPCS coding

Medical terminology

Anatomy & physiology

Education

High School Diploma or GED

Health Information Technology degree or RHIA/RHIT/CCS/CPC desirable

CPC certification within 18 months

Job description

Turn reimbursement expertise into greater impact across healthcare. As a Reimbursement Coordinator you’ll you’ll help ensure accurate, compliant reimbursement while empowering teams with the knowledge and tools they need to succeed. By translating complex reimbursement requirements into clear guidance, you’ll strengthen financial performance, improve processes, and support the resources that make exceptional patient care possible.

Why Choose Guthrie:

• Voluntary 403(b) Retirement Plan – Plan for your future with Fidelity investment options
• Employee Assistance Program – Confidential support for personal and professional well-being
• Shift Differentials & Premiums – Earn more for evenings, nights, weekends, and float coverage
• Friendly, Inclusive Work Family – Be part of a team that feels like home

Recognized as a Top Healthcare Employer:

Guthrie is consistently recognized for its strong workplace culture and commitment to caregiver well‑being, including:

• Best Places to Work 2025 - Modern Healthcare
• America's Greatest Workplaces in Healthcare 2025, 2026 - Newsweek
• America's Best-In-State Employers (PA) 2025 - Forbes
• America's Best Employers for Healthcare Professionals 2025 - Forbes
• America's Best Employers for Women 2025 – Forbes

Schedule & Coverage:

• Full-Time, Day Shift

Position Summary:

Responsible for reviewing clinical documentation to accurate assign CPT, ICD‐10, and modifiers. Responsible for coding multispecialty services including procedures, evaluation and management, ancillary procedures and works variance coding workqueues. Provide a high level of technical competency and serves as a subject matter expert regarding documentation guidelines, coding, and reimbursement. Works in collaboration with providers, operational managers, and CBO. Will coordinate, implement and support billing and coding processes.

Education, License & Cert:

High School Diploma or equivalency required

Degree in Health Information Technology or possession of RHIA, RHIT, CCS or CPC certification desirable. CPC Certification required to be obtained within 18 months of date of hire.

Experience:

Must have a proficient knowledge of Medicare, Medicaid, and other third party payer coding and billing regulations. Must be able to demonstrate a strong knowledge of CPT, ICD‐10‑CM and HCPCS coding systems and guidelines, medical terminology, anatomy, and physiology.

Essential Functions:

1. 1. Manually code provider services by reviewing clinical documentation to assign the appropriate CPT, ICD‐10, and modifiers.
2. 2. Responsible for working coding edits to assign appropriate codes within coding edits daily to ensure appropriate and timely capture of revenue.
3. 3. Perform clinical and coding reimbursement assessments to ensure revenue capture. Make recommendations to appropriate providers, staff, and leadership partners.
4. 4. Communicate with all parties involved the results of quality coding/documentation reviews.
5. 5. Maintains working knowledge of payor regulations and third‐party guidelines.
6. 6. Perform special audits upon request to analyze billing activity.
7. 7. Ensure all regulations are met and claims subsequently submitted to payers accurately.

Other Duties:

1. 1. Contribute to maintain a team environment. Must work in a way that demonstrates and promotes teamwork.
2. 2. Maintains confidentiality regarding patient accounting.
3. 3. It is understood that this description is not intended to be all‑inclusive and that other duties may be assigned as necessary in the performance of this position.