Certified Coder/Denial Analyst

Collaborates with coding and billing department to perform a comprehensive review of the denied visit. The comprehensive review should ensure accurate billing and reimbursement and completed data capture. Stays within departmental guidelines, rules, regulations and all billing requirements.

• High School Diploma or equivalent required
• Current coding certification through AHIMA (American Health Information Management Association) or AAPC (American Academy of Professional Coders), or RHIT/RHIA with coding experience required
• Thorough knowledge of the related prospective payments systems (PPS)
• Knowledge of ancillary testing (laboratory, x-ray, EKG)
• Knowledge of anatomy, physiology and medical terminology
• Understanding of ethical coding practices and guidelines
• Knowledge of applicable federal, state and laws and regulations
• Knowledge of all aspects of third-party reimbursement policies and practices
• Excellent analytical and problem-solving skills
• Ability to assess and evaluate complex financial data
• Ability to maintain cooperative, working relationships, maintain friendly positive attitude, and the ability to maintain confidentiality
• Proficiency with computer applications, encoding system and ability to learn various software programs required

Location: Hannibal Regional Healthcare System · HRMG Patient Accounts
Schedule: Full Time, Days, M-F 8-5