Coding Analyst II (3981) REIMBURSEMENT CORPORATE OFFICE chez Lexington Clinic

SUMMARY: 

This position may be eligible for remote home work within Central Kentucky after an in office training period of up to sic months. Remote work requires the employee to demonstrate position knowledge and aptitude, and requires achievement/maintenance of performance benchmarks.

The Coding Analyst II, Advanced, ensures compliance with all coding regulations and conventions including those from the AMA, the Center for Medicare and Medicaid Services, as well as all non-Medicare commercial payers. Responsible for annual updates, and accuracy of all service forms; accurately completes all service forms using ICD-10/CPT/HCPCS codes in order to secure optimal reimbursement while remaining compliant with all coding regulations; codes surgical procedures directly from operative reports, maintains data on status of operative reports. Reviews claims and claim rules by department for judgment/action. Provides accurate price quotes to patients and staff; interacts directly with Coding Lead, Reimbursement Analysts, Auditors, and Data Entry to facilitate proper usage of ICD-10/CPT/HCPCS; assists analysts with physician and departmental projects; assists analysts with patient complaints and insurance denials; maintains professional growth and development through bulletins, educational programs, specialty conferences and workshops. Position is responsible for advanced level coding as defined
by the Reimbursement Manager. 

 PREFERRED QUALIFICATIONS:  

Formal training will probably be indicated by a high school diploma or equivalent; experience with Word and Excel computer programs preferred; completion of medical terminology course; minimum of two years experience with ICD-10/CPT/HCPCS coding and reimbursement activities; CPC certification required. 

 PHYSICAL GUIDELINES: 

Physical guidelines include the ability to move, traverse, position self, remain in a stationary position and negotiate steps for up to
eight hours per day; visual and auditory acuity; manual dexterity and motor coordination necessary to perform job duties. 

 NOTE:  

This document is intended to describe the general nature and level of work performed. It is not intended to act as an exhaustive list of all duties, skills, and responsibilities required of personnel so classified. Attendance is an essential function of the job. 

              LEXINGTON CLINIC IS AN EQUAL OPPORTUNITY EMPLOYER (EOE)