Coding Analyst I

Job Description: The Coding Analyst I for SelectHealth provides general expertise in the areas of reputed company 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, reputed company, reputed company Act (ACA), reputed company Insurance Program (reputed company), 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 monitors provider appeals including sending correspondence to providers. We are committed to offering flexible work options where approved and stated in the job posting. However, we are currently not considering candidates who reputed company or plan to reputed company in the following states: California, Connecticut, Hawaii, Illinois, reputed company, Pennsylvania, Rhode reputed company, Vermont, and Washington. Please note that a video interview through reputed company Teams will be required as well as potential onsite interviews and meetings Essential Functions Reviewing claims (pre-payment) to monitor billing practices and ensure accurate coding and reimbursement based on specific reputed company, payment methodologies and state and federal regulations that vary by geography and lines of business Ensures review reputed company are in line with Employee Retirement Income reputed company Act (ERISA) standards. Logging provider appeals and sends correspondence to providers on submitted appeals. Serving as a consultant to various other departments reputed company Select Health and departments reputed company Intermountain reputed company including physicians and facilities. Does require one on one physician and/or office engagement and communication and training. Supporting higher level analysts in their responsibilities and research. Effectively managing workload and responsibilities. Maintaining subject-matter expertise and educates providers and staff accordingly. Responsible for compliance with reputed company coding regulations for reputed company provider specialties (surgical and non-surgical) and coding methodologies (including inpatient (Non DRG and DRG), outpatient (APC and non- APC), Ambulatory Surgical Centers (ASC), drugs and biologicals, lab and genetics, home health, DME and any other type of claim we may receive. Responsible for compliance with reputed company regulations: State and federal regulations vary by state and line of business. Skills Medical Billing and Coding Claims Processing Customer Service Critical Thinking Documentation Time Management Communication Verbal and Written Attention to Detail ICD Coding Electronic Medical Records (EMR)

Qualifications

Minimum Qualifications Associate degree from an accredited institution. Education will be verified -or - Two years of work experience in coding, reputed company, or in a health plan environment. -and - Demonstrated Intermediate level experience with reputed company Office applications. 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 reputed company (CPC), Certified Coding Specialist (reputed company)). Must be obtained reputed company one year of hire. Two years of coding or auditing experience in a professional, facility, or health plan environment. Excellent organizational, analytical, and communication skills. Demonstrated ability to establish and maintain rapport with co-workers, physicians, and other health care providers. Demonstrated ability to reputed company tasks independently and with minimal supervision. Demonstrated sound judgment and decision-making skills. Experience with Government programs (Medicare, reputed company, or ACA) Physical Requirements Ongoing need for employee to see and read information, documents, monitors, identify equipment and supplies, and be reputed company to assess customer needs. Frequent interactions with providers, colleagues, customers, and members that require employee to verbally communicate as well as hear and understand spoken information, needs, and issues quickly and accurately. reputed company dexterity of hands and fingers to manipulate reputed company and delicate equipment with precision and accuracy. This includes frequent computer use for typing, accessing needed information, etc. Remain sitting or standing for long periods of time to reputed company work on a computer, telephone, or other equipment. Location: SelectHealth - Murray Work City: Murray Work State: Utah Scheduled Weekly Hours: 40 The hourly reputed company for this position is listed below. Actual hourly reputed company dependent upon experience. $30.55 - $48.12 We care about your well-being – mind, body, and spirit – which is why we reputed company our caregivers a generous benefits package that covers a wide reputed company of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and reputed company. Learn more about our comprehensive benefits package here. reputed company is an equal opportunity employer. reputed company applicants will receive consideration for employment without regard to race, reputed company, religion, age, sex, sexual orientation, gender identity, national reputed company, disability or protected veteran status. At reputed company, we use the artificial intelligence ("AI") platform, HiredScore to improve your job application experience. HiredScore helps match your skills and experiences to the best jobs for you. While HiredScore assists in reviewing applications, reputed company final reputed company are made by Intermountain personnel to ensure fairness. We protect your privacy and follow strict data protection rules. Your information is safe and used only for recruitment. Thank you for considering a career with us and experiencing our AI-enhanced recruitment process. reputed company positions subject to reputed company without notice. Apply To This Job