Coding Compliance Analyst
Company: Legacy Health
Location: Portland
Posted on: February 1, 2025
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Job Description:
Coding Compliance AnalystUS-OR-Job ID: 24-38885Type: Regular
Full-TimeHomebased EE OregonOverviewRemote Position (OR/WA Only)
This is a remote position - incumbents, who reside in Oregon or
Washington only. There may be occasional situations that require
work to be performed on-site at an assigned Legacy Health location.
All new hires are required to come to a designated Legacy Health
office location in Portland, Oregon prior to their start date for a
new hire health assessment and to complete new hire paperwork. This
position may require initial training and orientation to be
site-based, before transitioning to the remote schedule.
ResponsibilitiesYou recognize that your coding and compliance
skills serve a larger mission within the Legacy community, and that
is making life better for others. As you develop, implement and
monitor systems to meet Medicare and other payor guidelines for
documentations, you are continuing the excellence that guides
Legacy in all we do. If this how you feel about your work, we
invite you to consider this opportunity. ComplianceWorks closely
with Regulatory department to support adherence to compliance
policies relating to professional coding. Provides new physician
orientation related to regulatory compliance, documentation and
coding guidelines. Charge CaptureAnalyzes physician practices to
identify charge opportunities and ensure all billable services are
captured.Develops fee ticket and provides in-services to providers
and staff on their use.Oversees the set-up of new CPT Codes.
Updates and reviews fee tickets annually and ensures system files
are updated accordingly.Identifies need for and enlists consultant
services as needed. Participation in Reimbursement Analysis of
Professional ServicesParticipates in reimbursement analysis to
determine if denials relate to CPT or diagnostic coding.Defines
criteria for payor specific reimbursement for correct payment
analysis.Investigates payor response to new CPT/HCPCS
codes.Analyzes and documents the patient account cycle for each
physician or physician line of business for timely and accurate
processing. Provider and Staff TrainingProvides onsite initial and
ongoing CPT and ICD-9 training to providers and staff. Acts as a
resource to physicians for CPT and diagnostic coding questions.
Performs regular audits to ensure compliance with coding and
documentation guidelines. Provides feedback to physicians, both
written and verbally, regarding coding and documentation
accuracy.QualificationsEducation: Associate's degree in business or
healthcare, or equivalent experience, required. Experience: Minimum
of two years healthcare experience required. CPT/ICD9 experience in
a multi-specialty setting preferred. Database experience preferred.
Skills: Strong communication skills, both verbal and written.
Ability to speak in front of large and small groups. Proven ability
to develop training programs, provide training and oversee work
processes. Excellent organizational skills and the ability to
handle large volumes of work. Demonstrated understanding of
insurance reimbursement and payment methodology. Competent in
Microsoft Excel and Word software. LEGACY'S VALUES IN
ACTION:Follows guidelines set forth in Legacy's Values in
ActionEqual Opportunity Employer/Vet/Disabled Compensation details:
30.16-43.15 Hourly WagePI0f1067b9fbff-25660-35421430
Keywords: Legacy Health, Portland , Coding Compliance Analyst, Professions , Portland, Oregon
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