Reimbursement Analyst

The Vancouver Clinic P.S. • Vancouver, WA

6d • $23 - $32 • Onsite

About The Position

Join the growing Patient Financial Services team as the Reimbursement Analyst In this role, you will: identify, analyze, and resolve payor underpayments to ensure accurate reimbursement. Review contracts, evaluate claims and payments, and prepare/track appeals.

Requirements

• High school diploma or equivalent required.
• AHIMA (CCA, CCS, CCS-, or RHIT); AAPC (CPC, CPC-A, CPC-H, CPC-H-A, or one of the relevant AAPC specialty-specific coding credentials preferred.
• Minimum three years of experience in medical billing and collections or coding required.
• Working knowledge of ICD-10, CPT, and HCPCS coding and Correct Coding Initiatives (CCI) required.
• Epic EHR and Experian Contract Manager experience preferred.
• Knowledge of government, commercial, and third-party insurance contract practices and the claims processing procedures preferred.
• Must have demonstrated competence with computer systems including electronic health records, and Microsoft Office Suite required.
• Ability to interpret insurance medical policies and procedures.
• Experience working in a medical office setting required, with demonstrated understanding of standard insurance reimbursement methodologies.

Nice To Haves

• AHIMA (CCA, CCS, CCS-, or RHIT); AAPC (CPC, CPC-A, CPC-H, CPC-H-A, or one of the relevant AAPC specialty-specific coding credentials preferred.
• Epic EHR and Experian Contract Manager experience preferred.
• Knowledge of government, commercial, and third-party insurance contract practices and the claims processing procedures preferred.

Responsibilities

• Interpret payor contract rates, identify relevant fee schedules, and accurately calculate expected reimbursement
• Analyze the impact of billing modifiers on reimbursement and apply this knowledge to validate payments and identify underpayments or discrepancies.
• Analyze trends related to underpayments, CPT/HCPCS codes, and modifiers
• In collaboration with payer representatives, resolve reimbursement discrepancies

Benefits

• Vancouver Clinic offers medical, dental, vision, life insurance, AD&D, long term disability, health savings account, flexible spending account, employee assistance program, and multiple supplemental benefits (voluntary life, critical illness, accident, hospital indemnity, identity theft protection, legal services, etc.).
• We also offer a 401k retirement plan, along with an employer matching contribution up to 4%.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED