The Billing Analyst I performs highly technical and specialized revenue cycle functions for Cherokee Indian Hospital Authority. This role reviews diagnostic and procedural information to determine Medicare, Medicaid, and private insurance reimbursement, with a focus on accurate ICD-10-CM, CPT, and HCPCS coding for reimbursement purposes.
The position supports revenue cycle management by ensuring compliance with established guidelines, third-party reimbursement policies, government regulations, and accreditation standards. Responsibilities include claims preparation, analysis, follow-up, denial resolution, and supporting accurate and timely billing operations.
Education and Experience
- High school diploma or equivalent required
- Entry-level position
- Basic medical office experience preferred
- RHIA, RHIT, CPC, CPB, CCS, CCS-P, or NCICS certification preferred and required within two years of hire
- Completion of continuing education courses required to maintain certification
- Twelve to eighteen months expected to become proficient in most phases of the job
- Valid North Carolina driver’s license required
Knowledge and Skills
- Limited knowledge of medical terminology, anatomy and physiology, disease processes, pharmacology, and metric system
- Limited knowledge of ICD-10-CM, CPT, HCPCS, and official coding guidelines
- Knowledge of billing forms including UB-04, HCFA-1500, and ADA2006
- Understanding of AMA and CMS coding conventions and rules
- Knowledge of fiscal requirements, policies, and procedures of federal, state, and tribal programs
- Ability to use computer hardware, software, and office equipment effectively
- Strong math, communication, organizational, and time management skills
- Ability to follow instructions and work independently
Work Conditions
- High level of mental concentration required
- Must handle multiple tasks and frequent interruptions
- Occasional travel required
Location
North Carolina, US
Employment Type
Full-time
Experience Level
Entry Level
Remote work allowed
No
Posted
1 month ago