Coding Analyst

Minneapolis, MN

Humera is seeking a Coding Analyst for our client located in Minneapolis. Our client delivers high-quality health coverage and services to help members of all ages maintain and improve their health. The individual in this role will be responsible to identify and analyze changes to CPT, HCPCS, ICD-10-PCS, ICD-10-CM codes and proprietary laboratory codes and to facilitate the timely implementation of same across all appropriate departments and business systems. This is a long term contract opportunity.

Duties

  • Participate in the process for implementation of quarterly, annual and bi-annual updates to CPT, HCPCS, ICD-10-PCS, ICD-10-CM and proprietary laboratory codes.
  • Identify and analyze coding changes as they relate to accurate claims processing. Minimize rework by ensuring stakeholders are aware of and understand changes and impact on individual lines of business.
  • Process service forms in coding queues accurately and consistently to maintain expected SLAs. Serve as a primary resource for coding issues related to claims adjudication.
  • Develop and maintain education/training materials for key internal business areas related to coding and reimbursement issues. Identify how coding changes will impact specific departments or areas. Provide face-to-face education and training as needed.
  • Assist in the development of training and education materials for providers. Present focused education for providers as needed to minimize claim denials and unnecessary rework.
  • Represent the client at external professional committees such as Administrative Uniformity Committee Medical Code Technical Advisory Group. Proactively distribute information as appropriate across departments. Participate in and represent coding in internal work groups and committees.
  • Collaborate with key internal departments to manage and resolve complex claim issues, maximize operational effectiveness, support automation and reduce duplication of effort and re-work.
  • Collaborate with Claims Training staff to ensure work instructions impacted by coding changes are identified and updated in a timely manner.
  • Assist in the management of the Coding Request Board to resolve coding questions and to complete coding-specific projects.

Requirements

Education

  • High school or equivalent. Current and valid certification as a professional coder from an accredited institution.
Requirements
  • Three years of experience as a certified coder in a healthcare delivery setting
  • Health insurance (payer) setting or Medicare and/or Medicaid setting.
  • Microsoft Word, Excel and PowerPoint skills.
  • Optum Claims Editing Software (CES) – professional and facility.
  • Amisys
  • MACESS

Post Date: 01.04.2019

Salary: Contact for Rate

Shift: 1st

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If you would prefer to speak directly to a Humera Staffing Consultant, please call us at 612-977-1440 and reference OrderID 816311


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For more than 45 years you may have known us as Dolphin Staffing - a name synonymous with quality temporary, and direct hire employment in the Minnesota. Today we are Humera - a boutique staffing agency that specializes in the placement of the best and brightest administrative and professional talent for contract, contract to hire and direct hire opportunities. Although we have changed our name, we continue to provide flexible career opportunities across a broad range of industries and with companies large and small. We invite you to become part of our elite workforce today!

Humera Administrative and Professional Staffing is an Equal Opportunity Employer.