Reimbursement Analyst - Tal Healthcare
New York, NY 10029
About the Job
Our client. a leading academic medical center in NYC, is hiring a Reimbursement Analyst.
Responsibilities:
If you are passionate about what you could accomplish in this role, we would love to hear from you!
#LI-FP1
Responsibilities:
- The Reimbursement Analyst will be responsible for resolving coding related errors and/or denials identified by CDM edits or by the Billing Dept.
- Review documentation associated with accounts reside in Epic work queues to determine the appropriate charge/s, procedure and/or diagnosis codes.
- Liaison with front end, as needed, to ensure that visits are registered correctly
- Ensure that documentation supports charges on claim to prevent denials/underpayments and are in adherence with compliance standards and credible coding sources
- Assist PFS with analyzing coding denials and writing appeals, as needed.
- Review and distribute coding-related articles to clinical staff, including medical necessity policies and coding/billing information for various procedures
- Research and identify missing device &/or drug related charges that's required to support procedure on claim & bring to manger's attention for needed follow-up
- Identify and assists with documentation gaps in retrospect of CMS, AHA or AMA guidelines for revenue enhancement opportunities
- Identify patterns, trends, and opportunities for charge capture and revenue enhancement.
- Update charges in Eagle as required by posting and deleting and ensure that the correct info is entered to avoid negative charges or incorrect DOS.
- Assists /perform special projects related to re-billing or charge master activities.
- Participate in education programs to maintain up to date coding skills.
- Can be remote or hybrid
- Proficient in Epic Billing and have thorough working knowledge of ICD-10 diagnosis coding guidelines, CPT/HCPCS code assignments.
- Knowledge of the Outpatient Prospective Payment System (OPPS)
- Detailed knowledge and understanding of hospital vs. professional charging and coding.
- Ability to concentrate and accomplish tasks with explicit accuracy and established/maintained effective working relationships as required by the duties of the position.
- Functional knowledge of facility EMR, encoder, and other support software
- 3-5 years of multispecialty coding experience in AmSurg and/or clinic settings
- Bachelors degree or equivalent work experience required.
- AHIMA (CCS) or AAPC (CPC) approved credential
If you are passionate about what you could accomplish in this role, we would love to hear from you!
#LI-FP1
Source : Tal Healthcare
