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Reimbursement Analyst (4356) REIMBURSEMENT CORP OFFICE at Lexington Clinic

Lexington, Kentucky, United States -

Full Time

Start Date

Immediate

Expiry Date

01 Oct, 26

Salary

0.0

Posted On

03 Jul, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

ICD-9 Coding, CPT Coding, Medical Reimbursement, Chart Auditing, Claim Denial Analysis, Medical Record Terminology, Federal Regulation Compliance, UCR Communication

Industry

Hospitals and Health Care

Description

SUMMARY: The Reimbursement Analyst ensures compliance with federal regulations through the Health Care Financing Administration; interacts directly with physicians and support staff through continuing education to facilitate proper usage of procedural and diagnostic codes in order to maximize reimbursement; communicates with patients regarding UCR questions; performs annual chart audits; reviews and reports claim denial patterns; maintains professional growth and development through bulletins, educational programs, specialty conferences and workshops. PREFERRED QUALIFICATIONS: Formal training will probably be indicated by a high school diploma or equivalent; completion of medical record terminology course; minimum of two years experience with ICD-9 and CPT coding and reimbursement activities; knowledge of third party fee profiles and reimbursement mechanisms; CPC certification preferred. PHYSICAL GUIDELINES: Physical guidelines include the ability to move, traverse, position self, remain in a stationary position and negotiate steps for up to eight hours per day; visual and auditory acuity; manual dexterity and motor coordination. NOTE: This document is intended to describe the general nature and level of work performed. It is not intended to act as an exhaustive list of all duties, skills, and responsibilities required of personnel. Attendance is an essential function of the job. LEXINGTON CLINIC IS AN EQUAL OPPORTUNITY EMPLOYER (EOE)

Responsibilities

The analyst ensures compliance with federal regulations and maximizes reimbursement through the proper use of procedural and diagnostic codes. They are responsible for performing chart audits, reporting claim denial patterns, and educating physicians and staff.