Remote Coding Analyst I – Healthcare Claims & Compliance

Intermountain Healthcare Inc.; Augusta (ME); À distance; USD 43 000 - 67 000; Plein temps

Avantages offerts par ce poste

Benefits package

Résumé du poste

Intermountain Health is seeking a Coding Analyst I for SelectHealth to review claims and monitor provider coding across professional, facility, drug, DME, and lab code sets. This remote role supports multiple regulatory programs (Medicare, Medicaid, ACA, CHIP) and requires collaboration with physicians and departments.

Strong communication and Excel skills are essential. The position emphasizes ERISA compliance, experience with various coding systems (inpatient, outpatient, ASC, drugs, lab,

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.

Responsabilités

• 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 sending correspondence to providers on submitted appeals.
• Serving as a consultant to departments within Select Health and Intermountain including physicians and facilities.
• Supporting higher level analysts and effectively managing workload.

Connaissances

Medical Billing and Coding

Claims Processing

Customer Service

Critical Thinking

Documentation

Time Management

Communication Verbal and Written

Attention to Detail

ICD Coding

EMR

Formation

Associate degree

Two years of coding/healthcare experience

Bachelor's Degree (preferred)

Professional coding certification (CPC/CCS) preferred

Outils

Microsoft Office

Description du poste

Intermountain Health is seeking a Coding Analyst I for SelectHealth to review claims and monitor provider coding across professional, facility, drug, DME, and lab code sets. This remote role supports multiple regulatory programs (Medicare, Medicaid, ACA, CHIP) and requires collaboration with physicians and departments.

Strong communication and Excel skills are essential. The position emphasizes ERISA compliance, experience with various coding systems (inpatient, outpatient, ASC, drugs, lab,