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Job Req ID:  11753

Job Title:  Coding & Compliance Analyst

All Covered, IT Services Division of Konica Minolta Business Solutions (KMBS), is the leading national IT services company serving SMB to enterprise markets. Offering a wide variety of career opportunities, All Covered is an excellent choice for motivated IT professionals interested in a stimulating and progressive work environment.


With over 1,000 employees across the U.S. and Canada, All Covered has a highly skilled team of professionals focusing on superior quality service delivery to our customers. We offer hands-on technical training on the most relevant technologies in the industry and career path advancement in all levels of the company.


Please join us in our exciting growth and pursue a rewarding career with All Covered!

Position Objective

The Healthcare Revenue Cycle Coding & Compliance Analyst is a healthcare revenue cycle subject matter expert with experience in multiple functional areas such as patient access, revenue integrity, and patient financial services.

 

The Coding & Compliance Analyst is responsible for the oversight of documentation and coding processes within the All Covered Healthcare RCM practice and for providing support to the overall revenue cycle.  The Coding & Compliance Analyst is accountable for ensuring proper reimbursement and compliance with coding guidelines and regulations, and will play an active role in the education of Physicians and staff including annual coding updates. The Coding & Compliance Analyst is expected to maintain a working knowledge of coding process, policy, procedures, and serves as subject matter expert for CPT, ICD-10 and coding principles in accordance with the most recent published regulations from CMS, AMA, ACOS, AAPC, and The Official Coding Guidelines. The position is responsible for advising leadership on impacts of regulatory and operational changes. Is expected to provide regular coding updates/summaries of quality measurements and productivity metrics and will maintain ongoing communication with revenue cycle leadership regarding coding workload, quality, productivity, and other coding specific guidelines

Essential Job Functions

•    Monitor and remain apprised of all reimbursement programs and associated reporting requirements e.g. Medicare, Medicaid and commercial plans by reading and researching official transmittals, program memoranda and other official information on appropriate websites, trade journals or other publications. Utilize this information to support coding and documentation functions throughout the practices.

•    Conduct routine audits of outpatient accounts for: ICD-10-CM & CPT/HCPCS coding, documentation in the medical record, transfer of clinical/coded data to the claim and monitor payment outcomes, including denials, suspended claims and return to provider RTP accounts

•    Conduct and coordinate revenue cycle audits and analytical reviews on individual practices and assist the Central Billing Office in identifying and implementing revenue cycle improvement opportunities.

•    Maintains appropriate audit processes e.g. standardized audit samples, proper reporting of audit findings including recommendations for improvement

•    Oversees, develops and conducts delivery of coding and documentation education for physicians, physician extenders, residents and coders

•    Maintains a current competency level for ICD-10-CM and CPT/HCPCS coding

•    Understands and follows the Standards for Ethical Coding, internal policies relating to ethical conduct and confidentiality

•    Maintains performance dashboards for the coding staff, utilizes the KPI performance dashboards to identify and proactively solve for issues and identify opportunities.

•    Ensures optimized use of technology tools (measured by AR day Lag, coder efficiency, work time, and all other KPI’s and SLA’s)

•    Serve as subject matter expert for Medical Coding to improve the clinical knowledge and coding practice of the coding staff, and drives continuous quality improvement.

•    Collaborate effectively and regularly with RCM Manager, Physicians, and RCM team to understand opportunities for coding quality improvement and responds to these opportunities with demonstrated results

•    Lead, mentor and engage staff and serve as an escalation point for human resources issues

•    Collaborate with Revenue cycle and quality management departments to resolve issues and support root cause resolution of process or coding issues.

•    Develop and maintain all  policies and procedures documentation related to coding operations

Competencies (Knowledge, Skills and Abilities)

•    Medicare regulations and payment policies, Outpatient CPT Coding, ICD-10 and professional Evaluation and Management Coding

•    Medical Terminology and Coding

•    Healthcare Billing Experience

•    Knowledge of Payor/Insurance Benefits

Experience, Educational Reqts and Certifications

•    Minimum of 3 years progressive management experience in a healthcare, Professional coding management experience preferred

•    Required certifications include AHIMA or AAPC  coding credentials for direct oversight of coding functions.

•    Prior work focused on revenue cycle as it relates

•    Extensive experience with various Electronic Health Records

•    Bachelor’s Degree required, Health Information Management preferred

•    Proficient in Microsoft office

Konica Minolta Offers: 

  • Outstanding benefits package (including medical, dental, vision, life insurance)
  • 401(k) plan with matching company contribution
  • Generous holiday and paid time off schedules
  • Ongoing professional development training
  • Visible, exciting work supporting sales of cutting edge technology and workflow solutions.

Konica Minolta is an equal opportunity and affirmative action employer. We consider all qualified applicants for employment without regard to race, color, religion, creed, national origin, sex, pregnancy, age, sexual orientation, transgender status, gender identity, disability, alienage or citizenship status, marital status or partnership status, genetic information, veteran status or any other characteristic protected under applicable law.


Nearest Major Market: Atlanta