Coding Analyst
Company: Change Healthcare
Location: Oklahoma City
Posted on: May 15, 2022
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Job Description:
Overview of Position The Payment Integrity Coding Analyst
researches and interprets healthcare correct coding using
regulatory requirements and guidance related to CMS, CPT/AMA and
other major payer policies. They also use internal business rules
to prepare written documentation of findings through medical record
review. The Coding Analyst possesses an overall understanding of
all coding principles, including facility, provider and DME type
coding and provide health care payers with a total claim management
solution. Typically, 90% of a Coding Analyst's time is spent
performing coding and documentation review and 10% spent performing
other tasks as assigned. What will be my duties and
responsibilities in this job? + Conduct coding reviews of medical
records and supporting documentation against submitted claims, for
individual provider and facility claims, to determine coding and
billing accurate for all products.+ Process and/or review claims in
a timely manner utilizing client specific coding and billing
requirements that meet or exceed production and quality goals.+
Participate in process improvement activities and encourage
ownership of and group participation in improvement initiatives+
Analyze medical documents to evaluate potential issues of fraud and
abuse.+ Document coding review findings within investigative case
tracking system and maintains thorough and objective documentation
of findings.+ Serve as a coding resource and provide coding
expertise and guidance to entire investigation and/or clinical
team+ Monitor, track, and report on all case work.+ Communicate
determinations verbally and/or in writing to appropriate business
department as required by department internal workflow policies+
Identify and recommend opportunities for cost savings and improving
outcomes.+ Coordinate activities with varying levels of leadership
including the investigative team, legal counsel, internal and
external customers, law enforcement and regulatory agencies, and
medical professionals through effective verbal and written
communications.+ Research and interpret correct coding guidelines
and internal business rules to respond to customer inquiries, and
monitors CMS and major payer coding and reimbursement policies.
What are the requirements needed for this position? + AS degree or
Equivalent in Health Information Management+ 3+ years' experience
in medical coding with primary focus in facility and pro fee
coding+ Nationally recognized coding credential required: RHIA,
RHIT, CCS-P, or CPC+ Strong Microsoft Office skills including
Outlook, Excel, and Word.+ Proven ability to review, analyze, and
research coding issues.+ Reimbursement policy and/or claims
experience What other skills/experience would be helpful to have? +
Excellent communication skills both verbal and written with a high
attention to detail.+ Proficiency in navigating various computer
applications with the ability to ramp up quickly.+ Ability to learn
and navigate multiple computer programs quickly and effectively.+
Ability to establish good customer relationships with trust and
respect.+ Good interpersonal skills.+ Self-starting and
independent, able to stay focused while working remotely.+
Attention to detail is critical. What are the working conditions
and physical requirements of this job? + Must be available to work
full-time, Monday-Friday (time to be determined).+ Ability to work
in front of a computer nearly 100% of each day.+ Ability to work
independently and communicate primarily through instant messaging
(Skype, Jabber), email (Outlook) or the telephone. Join our team
today where we are creating a better coordinated, increasingly
collaborative, and more efficient healthcare system! COVID
Vaccination Requirements We remain committed to doing our part to
ensure the health, safety, and well-being of our team members and
our communities. As such, we require all employees to disclose
COVID-19 vaccination status prior to beginning employment and we
may require periodic testing for certain roles. In addition, some
roles require full COVID-19 vaccination as an essential job
function. Change Healthcare adheres to COVID-19 vaccination
regulations as well as all client COVID-19 vaccination requirements
and will obtain the necessary information from candidates prior to
employment to ensure compliance. Equal Opportunity/Affirmative
Action Statement Change Healthcare is an equal opportunity
employer. All qualified applicants will receive consideration for
employment without regard to race, color, religion, age, sex,
sexual orientation, gender identity, genetic information, national
origin, disability, or veteran status. To read more about
employment discrimination protections under federal law, read EEO
is the Law at https://www.eeoc.gov/employers/eeo-law-poster and the
supplemental information at
https://www.dol.gov/ofccp/regs/compliance/posters/pdf/OFCCP\_EEO\_Supplement\_Final\_JRF\_QA\_508c.pdf.If
you need a reasonable accommodation to assist with your application
for employment, please contact us by sending an email to
applyaccommodations@changehealthcare.com with "Applicant requesting
reasonable accommodation" as the subject. Resumes or CVs submitted
to this email box will not be accepted.Click here
https://www.dol.gov/ofccp/pdf/pay-transp\_%20English\_formattedESQA508c.pdf
to view our pay transparency nondiscrimination policy. California
(US) Residents: By submitting an application to Change Healthcare
for consideration of any employment opportunity, you acknowledge
that you have read and understood Change Healthcare's Privacy
Notice to California Job Applicants Regarding the Collection of
Personal Information
(https://www.changehealthcare.com/privacy-notice/privacy-notice-to-california-job-applicants)
. Change Healthcare maintains a drug free workplace and conducts
pre-employment drug-testing, where applicable, in accordance with
federal, state and local laws.Change Healthcare is an equal
opportunity employer. All qualified applicant will reveive
consideration for employment without regard to race, color,
religion, age, sex, sexual orientation, gender identity, genetic
information, national origin, disability, or veteran status.
Keywords: Change Healthcare, Oklahoma City , Coding Analyst, Professions , Oklahoma City, Oklahoma
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