Revenue Coding Analyst

Responsibilities

• Reconciles and monitors all charge adjustments.
• Identifies late charges as identified in EPIC.
• Ensures Imaging Exam codes in EPIC have appropriate CPT and EAP Codes.
• Reviews requests for Imaging Exam Codes with section Manager.
• Reviews exam charge edits or denials as identified by billing, coding and/or revenue reimbursement.
• Provides feedback and expertise to questions related to charge edits, denials or audits as identified.
• Prepares and runs Revenue and Usage reports from EPIC.
• Reviews daily all Billing, Coding, Charge capture work queues.
• Performs quarterly audits as identified by the Lead.

Qualifications

• Must be a Certified Professional Coder with an Associate degree in Secretarial Science, Business or Healthcare related field required or equal number of years experience in a Healthcare / Third party payer environment.
• Minimum 3 to 5 years experience in Medical Coding with an understanding of Third Party payor requirements, Medicare Medical Necessity, LCDs and ABNs.
• Excellent telephone communications, interpersonal, coordination and organizational skills.
• Moderate keyboarding skills.
• Ability to read computer screens, forms, and other documents and follow written and oral instructions.
• Prior customer service coordination or clinical experience necessary.
• Excellent communication and people skills.
• Individual must be articulate and confident in both oral and written communications.
• Ability to remain calm and professional in high stress situations.