Invasive Coding Analyst - Ortho

Roanoke, United StatesOn-site

Responsibilities

Investigate and identify errors in billing, coding or procedures relating to patient accounts.

May require a strong working knowledge of multiple payers knowing payer specific policies and procedures in order to serve as subject matter expert.
Experience: Minimum of 3 years of demonstrated proficiency in coding required. Licensure/certification: RHIT, RHIA, CCA, CCS, CPC, or CPC-H required. Other Minimum
Must be a team player with intiative, organizational skills, analytical abilities, detail oriented and have the ability to work independently.
Maintains working knowledge of computer systems used for healthcare operations.
Must be proficient with Word, Excel and researching the web for coding and billing information.

Collaboration with leadership in recommending solutions to management related to insurance issues, departmental procedures, and operations.
Collaboration with Orthopaedic Leadership in recommending solutions to management related to insurance issues, departmental procedures, and operations.
Carilion Clinic is an Equal Opportunity Employer: We provide equal employment opportunities to all employees and applicants without regard to race, color, religion, sex, national origin, age (40 or older), disability, genetic information, or veterans status.
benefits package, and many perks and well-being resources to help you live a happy, healthy life – at work and when you’re away.
benefits available to you when you join Carilion: Comprehensive Medical, Dental, & Vision
Benefits Employer Funded Pension Plan, vested after five years (Voluntary 403B) Paid Time Off (accrued from day one) Onsite fitness studios and discounts to our Carilion Wellness centers Access to our health and wellness app, Virgin Pulse Discounts on childcare Continued education and training

The incumbents may be requested to perform job-related tasks other than those stated in this description. Recruiter: EMILY ALLEN Recruiter Email: efallen@carilionclinic.org For more information, contact the HR Service Center at 1-800-599-2537.
For more information on E-Verify: https://www.carilionclinic.org/eoe-e-verify-and-right-work-policies Benefits, Pay and Well-being at Carilion Clinic Carilion understands the importance of prioritizing your well-being to help you develop and thrive.

Employment Status: Full time Shift: Day (United States of America) Facility: 2331 Franklin Rd - Roanoke Requisition Number: R159966 Invasive Coding Analyst - Ortho (Open) How You’ll Help Transform Healthcare: The Invasive Coding Analyst identifies and analyzes denials, determines solutions and implements corrections to result in accurate processing/payment of claims.
Investigates denial and coding issues as it relates to services provided and associated charges.
Makes important decisions and determination by the payers for claims.
Works in a fast-paced, office environment with high productivity and accuracy standards that requires focus and concentration on tedious details and research.
Retrieves and analyzes denial reports and provides recommendations based on findings. The Invasive Coding Analyst May act as coding and billing expert and resource.
Assists with denial reviews and creation of denial trending reports for management.
Identifies coding-related revenue and reimbursement improvement opportunities for Orthopaedic Services and reports these findings to management.
Consults with and provides education to physicians regarding clinical documentation as it relates to coding requirements.
Determines actions and completes action steps to resolve accounts.
Serving as a subject matter expert and provides guidance to RCM Specialists.