Vendor Medical Coding Analyst

This is a fully remote position, open to applicants in United States.

📋 Description

• Accountable for enhancing the overall effectiveness and precision of the vendor payment process.

• Review and analyze medical procedures and terminology within medical documents.

• Apply critical thinking skills to assess the best approach for addressing inquiries.

• Determine the underlying causes of vendor payment discrepancies.

• Perform audits on vendor medical records.

• Work in partnership with leadership to address and resolve issues.

• Monitor and manage the status of claims as they progress through vendor and internal teams.

• Create claims test case scenarios and ensure adherence to industry-standard coding practices.

⛳️ Requirements

• A Bachelor's degree is mandatory.

• Equivalent years of relevant professional experience may be accepted in lieu of the required education.

• A minimum of three (3) years of experience in medical billing and coding is essential.

• Three (3) years of experience in Managed Care is preferred.

• At least three (3) years of claims payment experience is required.

• Proficiency in diagnosis codes, CPT coding guidelines, medical terminology, anatomy and physiology, as well as Medicare/Medicaid/Commercial reimbursement guidelines.

• Intermediate skills in Facets, Microsoft Word, Excel, PowerPoint, and Access.

• Strong understanding of the fundamental medical billing process.

• Familiarity with Reimbursement Methodology (APC, DRG, OPPS) is preferred.

• Capability to generate reports and identify trends in coding.

🏝️ Benefits

• A comprehensive total rewards package.

• Bonus linked to both company and individual performance.

• Financial assistance for employee well-being.