Reimbursement Coordinator-Corporate Reimbursement/Coding-Full Time

Guthrie; United States; Sur place; USD 52 000 - 76 000; Plein temps

Avantages offerts par ce poste

403(b) Retirement Plan

Employee Assistance Program

Shift differentials & premiums

Friendly, inclusive work family

Résumé du poste

Guthrie in the United States is seeking a Reimbursement Coordinator to review clinical documentation and accurately assign CPT, ICD-10, and modifiers. You will code multispecialty services and collaborate with providers, managers, and the CBO to support compliant reimbursement.

This full-time day-shift role offers advancement in healthcare billing knowledge and opportunities to improve processes while maintaining patient care excellence.

Qualifications

• High School Diploma or equivalency required.
• Degree in Health Information Technology or RHIA/RHIT/CCS/CPC certification desirable; CPC required within 18 months of date of hire.
• Proficient knowledge of Medicare/Medicaid and third-party payer coding and billing regulations; CPT, ICD-10-CM and HCPCS guidelines.

Responsabilités

• Manually code provider services by reviewing clinical documentation to assign CPT, ICD-10, and modifiers.
• Work coding edits daily to ensure accurate revenue capture.
• Perform financial reimbursement assessments and provide recommendations to providers and leadership.
• Communicate audit results and coding/documentation findings to relevant stakeholders.
• Maintain knowledge of payer regulations and third-party guidelines.
• Assist with special audits to analyze billing activity as needed.
• Ensure claims are submitted accurately to payers.

Connaissances

Medicare/Medicaid knowledge

CPT/ICD-10 coding

Healthcare terminology

Analytical skills

Formation

High School Diploma or equivalent

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

CPC certification within 18 months of hire

Description du poste

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

Other Duties:

1. Contribute to maintain a team environment. Must work in a way that demonstrates and promotes teamwork.
2. Maintains confidentiality regarding patient accounting.
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.

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