Coding Analyst
The coding analyst is responsible for reviewing claims and medical records for correct billing, as well as processing and responding to any necessary incoming appeals and requests regarding determinations with providers.
Job Duties and Responsibilities
- Applying up-to-date documentation/guidelines when responding to appeals
- Creating custom, professional appeal letters
- Handling telephone/email appeal inquiries correlating to the determination of the appeal
- Mentoring and assisting with junior coding analysts
- Maintaining awareness of and ensuring adherence to the healthcare facility’s privacy standards
- Performing other related tasks as assigned
Experience and Qualifications
- High school diploma or GED equivalent
- Some college experience preferred
- Proficiency in medical coding and use of diverse research materials used to deliver savings conclusions on behalf of clients
- 3+ years healthcare and medical claims processing experience
- Appeals experience preferred
- Excellent customer service skills both over the phone and by email
- Exceptional professionally written communication skills
- Strong research and organizational skills
- Detail-oriented with the ability to multi-task
- Knowledge of Microsoft Office applications including Word, Excel, PowerPoint, and Outlook