Medical Coding Analyst

Current Temporary to hire opportunity for a Medical Coding Analyst.

Duties will include:
Analyzes and interprets patient medical records to identify and determine amount and nature of billable services; assigns and sequences appropriate diagnostic/procedure billing codes in compliance with requirements of third party payor requirements.
Interacts with physicians and other patient care providers regarding billing and documentation policies, procedures, and regulations; obtains clarification of conflicting, ambiguous, or non-specific documentation.
Monitors billing performances to ensure optimal reimbursement while adhering to regulations prohibiting unbundling and other questionable practices; prepares periodic reports for clinical staff identifying unbilled charges due to inadequate documentation.
Interacts with department heads and other administrative staff regarding implementation of new codes and revision of charge documents.
Researches inquiries from providers and patients about fees, reimbursements, and denials.
Monitors external data sources to ensure receipt and analysis of all charges.
Performs miscellaneous job-related duties as assigned.

Qualifications:

? Knowledge of medical terminology, anatomy and physiology.

? Knowledge of patient care charts and patient histories.

? Knowledge of legal and policy constraints pertaining to patient billing.

? Knowledge of auditing concepts and principles.

? Ability to analyze complex medical records and identify billable services.

? Ability to maintain quality and safety standards.

? Knowledge of current and devleloping issues and trends in medical coding procedures requirements.

? Ability to communicate effectively, both orally and in writing.

? Knowledge of ICD-9, ICD-10, HCPCS and CPT medical billing codes.

Education/Experience:

High school education and successful completion of a coding certificate program in a program with AHIMA or AAPC approval status. Prefer someone with 1 year work experience as a coder or strong training background in coding and reimbursement in the diagnostic field.

**All Qualified candidates, please email resumes to