Coding and Reimbursement Analyst

1.0 FTE, hybrid position but must be available for occasional onsite work in Rochester, MN

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
• Dental Insurance
• Paid Time Off
• 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
• Epic certifications
• HIM hospital coding experience preferred
• Demonstrated analytical skills
• Strong understanding of coding concepts
• Proven organization, documentation, and communication skills

Job Responsibilities:

• Builds and maintains Epic system for hospital coding.
• Trains team members on Epic upgrades.
• Creates and produces regular reports for department leadership.
• Troubleshoots Epic system issues and makes necessary changes for resolution.
• 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 as well as User Group meetings.
• 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.