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Coding Compliance Analyst-Remote Position - Portland, United States - Legacy Health
Description
Job Description
Coding Compliance Analyst-Remote Position (OR/WA Only)
Overview
Remote Position (OR/WA Only)
This role is fully remote and is available to individuals residing in Oregon or Washington. There might be occasional instances where on-site work is necessary at a designated Legacy Health location.
All new team members will need to visit a specified Legacy Health office in Portland, Oregon prior to their start date for health assessment and completion of paperwork. Initial training and orientation may be conducted on-site before transitioning to a remote working setup.
ResponsibilitiesYour coding and compliance skills play a crucial role in Legacy's mission of improving lives within the community. By establishing and maintaining systems that adhere to Medicare and other payor regulations, you contribute to the standard of excellence that defines Legacy. If you view your work in this light, we encourage you to explore this opportunity.
Coding Compliance Analyst:
Compliance
Collaborates closely with the Regulatory department to ensure compliance with professional coding policies.
Conducts orientation sessions for new physicians on regulatory compliance, documentation, and coding practices.
Change Capture
Evaluates physician procedures to identify billing opportunities and ensure accurate invoicing for all services provided.
Develops fee schedules and offers training to providers and staff on their utilization.
Supervises the implementation of new CPT Codes.
Regularly reviews and updates fee schedules, ensuring system files are current. Engages consultant services as required.
Participation in Reimbursement Analysis of Professional Services
Contributes to reimbursement assessments to determine if denials are linked to CPT or diagnostic coding.
Establishes criteria for payer-specific reimbursement to ensure accurate payment evaluations.
Investigates payer responses to new CPT/HCPCS codes.
Examines and documents the patient account cycle for each physician or physician business line to facilitate timely and precise processing.
Provider and Staff Training
Delivers on-site initial and ongoing CPT and ICD-9 training to providers and staff.
Acts as a resource for physicians concerning CPT and diagnostic coding queries.
Conducts routine audits to uphold compliance with coding and documentation standards. Provides constructive feedback to physicians on coding and documentation accuracy, both written and verbal.
QualificationsEducation:
Minimum of an Associate's degree in business or healthcare, or equivalent experience, is mandatory.
Experience:
At least two years of experience in healthcare is required. Prior CPT/ICD9 exposure in a multi-specialty environment is preferred. Proficiency in databases is a plus.
Skills:
Effective communication skills, both oral and written, are essential.
Adept at addressing large and small audiences.
Demonstrated ability to design training programs, deliver training, and oversee operational processes.
Strong organizational skills are a must to manage high workloads. Comprehensive knowledge of insurance reimbursement and payment mechanisms. Proficient in Microsoft Excel and Word software.
LEGACY'S VALUES IN ACTION:
Adheres to Legacy's Values in Action principles
Equal Opportunity Employer/Vet/Disabled
Compensation details: Hourly Wage
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Coding Compliance Analyst-Remote Position professionals in Portland
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Rami Krayem
Senior Product Manager