Coding Analyst I

Job Description: This position provides general expertise in the areas of coding (professional, facility (inpatient and outpatient), drug, Durable Medical Equipment (DME), and lab code sets) for highly-regulated, government insurance programs such as Medicare, Medicaid, Affordable Care Act (ACA), Children's Health Insurance Program (CHIP), Federal Employees Health Benefit (FEHB) program, and self-funded plans with unique plan designs, reimbursement, compliance initiatives, regulatory legislation, and billing practices. This analyst reviews claims and appeals and tracks provider appeals including sending correspondence to providers. Job Essentials 1. Reviews claims to monitor billing practices and ensure accurate coding and reimbursement. Ensures review decisions are in line with Employee Retirement Income Security Act (ERISA) standards. 2. Tracks appeals and sends correspondence to providers on submitted appeals. 3. Serves as a consultant to various other departments within SelectHealth and departments within Intermountain Healthcare including physicians and facilities. 4. Supports higher level analysts in their responsibilities and research. 5. Effectively manages workload and responsibilities. 6. Supports all internal departmental functions and processes. 7. Maintains subject-matter expertise and educates providers and staff accordingly. Wage: $25.17 depending on experience Benefits: Yes: Medical, Dental, Vision, Tuition Assistance, 401K, etc. Shift Details: Full Time (8AM-4PM) #SelectHealth Minimum Qualifications Associate degree from an accredited institution. Education will be verified - or - Two years of work experience in coding, healthcare, or in a health plan environment. - and - Demonstrated Intermediate level experience with Microsoft Office applications. - and - Demonstrated excellent written and verbal communication and presentation skills. Preferred Qualifications Bachelor's Degree from an accredited institution. Education will be verified. National professional coding certification (e.g., Certified Professional Coder (CPC), Certified Coding Specialist (CCS)). Must be obtained within one year of hire. If not obtained within this time period, the caregiver is removed from the position. Two years of coding or auditing experience in a professional, facility, or health plan environment. - and - Excellent organizational, analytical, and communication skills. - and - Demonstrated ability to establish and maintain rapport with co-workers, physicians, and other health care providers. - and - Demonstrated ability to perform tasks independently and with minimal supervision. - and - Demonstrated sound judgment and decision making skills. - and - Experience with Government programs (Medicare, Medicaid, or ACA). Physical Requirements: SH only Interact with others requiring the employee to communicate information. - and - Operate computers and other equipment requiring the ability to move fingers and hands. - and - See and read computer monitors and documents. - and - Remain sitting or standing for long periods of time to perform work on a computer, telephone, or other equipment. Location: SelectHealth - Murray Work City: Murray Work State: Utah Scheduled Weekly Hours: 40 The hourly range for this position is listed below. Actual hourly rate dependent upon experience. $28.93 - $45.57 We care about your well-being – mind, body, and spirit – which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged. Learn more about our comprehensive benefits packages for our Idaho, Nevada, and Utah based caregivers, and for our Colorado, Montana, and Kansas based caregivers our commitment to diversity, equity, and inclusion. Intermountain Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability or protected veteran status. Intermountain Health is a Utah-based, not-for-profit system of 33 hospitals (includes "virtual" hospital), a Medical Group with more than 3,800 physicians and advanced practice clinicians at about 385 clinics, a health plans division called SelectHealth, and other health services. Helping people live the healthiest lives possible, Intermountain is widely recognized as a leader in clinical quality improvement and efficient healthcare delivery. Join our world-class team and embark on a career filled with opportunities, strength, innovation, and fulfillment. To find out more about us, head to our career site here. Sign up for job alerts! Click ‘sign in’ at the top right corner, create a candidate account, and when we have opportunities that meet your interests, you will receive an email with the job details. Intermountain Health strives to make the application process accessible to all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact 1-800-843-7820 or email recruitment@imail.org. This contact information is for accommodation requests only and cannot be used to inquire about the status of applications. We intentionally work toward an Intermountain Health that reflects our diverse communities and provides culturally competent care, health equity, and a sense of belonging amongst all our caregivers (employees). This is an important part of fulfilling our mission to help people live the healthiest lives possible. The three pillars of our work are talent experience with Intermountain (application, internship, development, etc.), community benefit, and care delivery. Learn more about diversity at Intermountain, here. Introduce yourself to our Talent Acquisition team and we will get in touch if there is a role that seems like a good match. Intermountain Health’s PEAK program supports caregivers in the pursuit of their education goals and career aspirations by providing up-front tuition coverage paid directly to the academic institution. The program offers 100 learning options to choose from, including undergraduate studies, high school diplomas, and professional skills and certificates. Caregivers are eligible to participate in PEAK on day 1 of employment. Learn more. The primary intent of this job description is to set a fair and equitable rate of pay for this classification. Only those key duties necessary for proper job evaluation and/or labor market analysis have been included. Other duties may be assigned by the supervisor. All positions subject to close without notice. Thanks for your interest in continuing your career with our team!

Salary : $25 - $29