Medical Coding Appeals Analyst

PRIMARY DUTIES

• Review medical record documentation in support of Evaluation and Management, CPT, HCPCS and ICD-10 code.
• Reviews company specific, CMS specific, and competitor specific medical policies, reimbursement policies, and editing rules, as well as conducting clinical research, data analysis, and identification of legislative mandates to support draft development and/or revision of enterprise reimbursement policy.
• Translates medical policies into reimbursement rules.
• Performs CPT/HCPCS code and fee schedule updates, analyzing each new code for coverage, policy, reimbursement development, and implications for system edits.
• Covers system inquiries and appeals.
• Coordinates research and responds to system inquiries and appeals.
• Conducts research of claims systems and system edits to identify adjudication issues and to audit claims adjudication for accuracy.
• Perform pre-adjudication claims reviews to ensure proper coding was used.
• Prepares correspondence to providers regarding coding and fee schedule updates.
• Trains customer service staff on system issues.
• Works with providers contracting staff when new/modified reimbursement contracts are needed.

  Minimum Requirements

  • Requires a BA/BS degree and a minimum of 2 years related experience; or any combination of education and experience, which would provide an equivalent background.
  • Certified Professional Coder (CPC) or Registered Health Information Administrator (RHIA) certification required.

  Preferred Skills, Capabilities and Experience

  • CEMC, RHIT, CCS, CCS-P certifications preferred.