Coding Analyst

ECU Health

About ECU Health

ECU Health is a mission-driven, 1,708-bed academic health care system serving more than 1.4 million people in 29 eastern North Carolina counties. The not-for-profit system is comprised of 13,000 team members, nine hospitals and a physician group that encompasses over 1,100 academic and community providers practicing in over 180 primary and specialty clinics located in more than 130 locations.

The flagship ECU Health Medical Center, a Level I Trauma Center, and ECU Health Maynard Children's Hospital serve as the primary teaching hospitals for the Brody School of Medicine at East Carolina University. ECU Health and the Brody School of Medicine share a combined academic mission to improve the health and well-being of eastern North Carolina through patient care, education and research.

Position Summary

Responsible for performing data quality reviews on outpatient and inpatient encounters to facilitate clean claim submissions by using independent judgment, coding and governmental guidelines to optimize reimbursement.

Responsibilities

Preform data quality claim reviews. Use knowledge of coding and medicare regulations to resolve coding issues identified by central billing office claim scrubber. Communicatre corrections to the Centeral Billing Office in a timely and accurate manner so that billing edits remain at developed targets. Review Medical Record Documentation to ensure corrections are consistent with documentation.

Trend OCE/CCI edits. Communicate any identified patterns or trends in OCE/CCI edits. Assist with the resolution of identified patterns and trends. Assist with the monitoring of implemented resolutions.

Knowledge of governmental and coding changes. Apply governmental and coding changes related to billing. Communicate any governmental or coding changes that may affect reimbursement.

Coding denials. Resolve coding related denials. Communication resolutions to the Central Business Office in a timely manner. Review medical record to validate charges.

Meet productivity and accuracy standards for department. Maintain productivity standards as communicated by supervisor. Maintain 95% accuracy rate.

Minimum Requirements

Associate College Degree in Health Information Management or Medical Billing is desired.

One to three years of coding, medical billing or related experience is desired. CCS-P, CPC, RHIA, RHIT, or CCS certification required.

General Statement

It is the goal of ECU Health and its entities to employ the most qualified individual who best matches the requirements for the vacant position.

Offers of employment are subject to successful completion of all pre-employment screenings, which may include an occupational health screening, criminal record check, education, reference, and licensure verification.

We value diversity and are proud to be an equal opportunity employer. Decisions of employment are made based on business needs, job requirements and applicant's qualifications without regard to race, color, religion, gender, national origin, disability status, protected veteran status, genetic information and testing, family and medical leave, sexual orientation, gender identity or expression or any other status protected by law. We prohibit retaliation against individuals who bring forth any complaint, orally or in writing, to the employer, or against any individuals who assist or participate in the investigation of any complaint.