The Vendor Medical Coding Analyst supports the efficiency and accuracy of the vendor payment process by reviewing medical records and supplemental data to ensure diagnostic and procedural codes align with coding guidelines and medical necessity.
This role investigates claims issues, identifies root causes, leads process-improvement efforts with vendors and internal teams, and helps ensure appropriate reimbursement and compliance with industry standards.
Requirements & Qualifications
Required qualifications
- Bachelor's degree, or equivalent relevant work experience in lieu of degree
- 3+ years of medical billing/coding experience
- 3+ years of claims payment experience
- Certified Medical Coder credential required (CPC, RHIT, or RHIA)
Knowledge and skills
- Knowledge of diagnosis codes, CPT coding guidelines, medical terminology, anatomy and physiology, and Medicare/Medicaid/commercial reimbursement guidelines
- Understanding of basic medical billing processes
- Data analysis and quality assurance skills
- Strong communication, critical thinking, and problem-solving skills
- Ability to generate reports and identify coding trends
- Ability to work independently and in a team environment
- Intermediate proficiency with Facets, Microsoft Word, Excel, PowerPoint, and Access
- Familiarity with Medicaid, Medicare, and commercial reimbursement methodologies; APC, DRG, and OPPS preferred
Benefits & Perks
Compensation and rewards
- Salary range: $54,500 - $87,300 annually
- Bonus eligibility based on company and individual performance
- Comprehensive total rewards package
Location
N/A
Employment Type
Full-time
Experience Level
Intermediate Level
Salary Range
$54,500 - $87,300
Remote work allowed
Yes
Posted
1 week ago
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