Vendor Medical Coding Analyst

Role Overview

• The Vendor Medical Coding Analyst is responsible for guiding the overall efficiency and accuracy of the vendor payment process through analyzing medical records and supplemental data
• Conduct audits of vendor medical records
• Identify and implement process improvements based on analysis of issues and other gaps in processes
• Collaborate with leadership to advocate resolving issues based on industry standard coding practices
• Act as a subject matter expert to analyze and decide the appropriate reimbursement for codes submitted on claims

Requirements

• Bachelor's degree required
• Three (3) years Medical billing coding experience required
• Three (3) years Managed Care experience preferred
• Three (3) years of claims payment experience required
• Knowledge of diagnosis codes, and CPT coding guidelines; medical terminology; anatomy and physiology; and Medicare/Medicaid/Commercial reimbursement guidelines
• Intermediate level of Facets, Microsoft Word, Excel, PowerPoint and Access
• Firm understanding of basic medical billing process
• Reimbursement Methodology (APC, DRG, OPPS) preferred
• Certified Medical Coder (CPC, RHIT or RHIA) required

Benefits

• substantial and comprehensive total rewards package
• potential for bonuses tied to company and individual performance