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.

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

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

Full-Time Schedule : Monday - Friday 8am to 5pm

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*Must have excellent attendance! Consistent, dependable, and predictable attendance is crucial in helping us fulfill our mission of providing high-quality, compassionate care.

We require our employees to adhere to our attendance standards, as frequent deviations make it difficult to provide care for our patients and support our coworkers.

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.


* 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 Information : Vancouver Clinic provides care across a wide range of medical decisions.

This includes care and opinions on vaccinations, reproductive health, end-of-life decision-making, and gender affirming treatment.

The ability to work, with or without reasonable accommodation, with a diverse population of patients and colleagues seeking or considering care in all areas, is an essential function of all positions at the Clinic.

This position may require that employees have and maintain an activated smartphone that receives text messaging and/or ability to have a required app such as authenticator apps as some job functions require use of multi-factor authentication (MFA).

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, ...