Coding Appeals Analyst

Patient Financial Services is seeking a detail-oriented coding specialist to support accurate billing and minimize coding-related denials as an Appeals Analyst.

Location: The VIC (18110 SE 34th Street - Vancouver, WA 98683)

Schedule : Monday - Friday 8am to 5pm.

Hiring Range is generally between $23.40-$28.05 and placement in the range depends on an evaluation of experience.

Key Responsibilities


* Analyze and appeal coding and medical necessity denials


* Identify denial trends and recommend process improvements


* Educate clinicians and staff on coding accuracy and payor guidelines


* Ensure timely and accurate claim submissions and follow-up


* Review underpaid claims and appeal based on payor contracts

Requirements:


* High school diploma or equivalent required.


* AHIMA (CCA, CCS, CCS-, or RHIT); AAPC (CPC, CPC-A, CPC-H, CPC-H-A, or one of the relevant AAPC specialty-specific coding credentials preferred.


* Minimum of one year of experience in medical billing and collections or coding required


* Working knowledge of ICD-10, CPT, and HCPCS coding and Correct Coding Initiatives (CCI) required


* Knowledge of government, commercial, and third-party insurance contract practices and claims processing procedures preferred


* Experience working in a medical office setting required, with demonstrated understanding of standard insurance reimbursement methodologies


* Knowledge of medical terminology and anatomy required


* Excellent organizational skills and attention to detail required


* Must have demonstrated competence with computer systems including electronic health records, and Microsoft Office Suite required

Additional details : This role has the potential for off-site work after successful completion of full-time, on-site training at The VIC and meeting the requirements for working off-site (approx.

6 months).

This requires an employee to meet metrics, live in the local Vancouver, WA or Portland, OR area and have a secure home network with minimum upload (5 mbps) and download speeds (25 mbps).

Pay Range:
$22.98 - $32.17

The above information is intended to indicate the general nature and level of work required in this position.

It is not designed to contain or be interpreted as a comprehensive description of all duties, responsibilities, and qualifications required of those assigned to this job.

We offer a competitive Total Rewards Program.

Eligibility for benefits is dependent on factors such as position type and FTE.

Benefit-eligible employees qualify for benefits beginning on the first of the month following one month of employment.

Vancouver Clinic offers medical, dental, vision, life insurance, AD&D, long term disability, health savings account, flexible spending account, employee assistance program, and multiple supplemental benefits (voluntary life, critical illness, accident, hospital indemnity, identity theft protection, legal services, etc.).

We also offer a 401k...