Claim and Denials Coding Analyst
Company: St. Luke's University Health Network
Location: Allentown
Posted on: April 17, 2024
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Job Description:
St. Luke's is proud of the skills, experience and compassion of
its employees. The employees of St. Luke's are our most valuable
asset! Individually and together, our employees are dedicated to
satisfying the mission of our organization which is an unwavering
commitment to excellence as we care for the sick and injured;
educate physicians, nurses and other health care providers; and
improve access to care in the communities we serve, regardless of a
patient's ability to pay for health care.
The Claim and Denial Coding Analyst role is a Certified Medical
Coder who ensures clean claim submission and timely review and
resolution of coding related claim denials for professional
services, FQHC, MSO, and ASCs across the network. Utilizes provider
documentation and queries, coding software tools and Insurance
carrier medical and reimbursement policies during the claim review
process.
JOB DUTIES AND RESPONSIBILITIES:
PHYSICAL AND SENSORY REQUIREMENTS:
Sitting for up to 8 hours per day, 3 hours at a time. - Standing
and walking as necessary. - Fingering and handling frequently,
twisting and turning of hands occasionally. - Pushing and pulling.
- Occasionally stoops, bends, squats, kneels and reach above
shoulder level. - Hearing as it relates to normal conversation.
-Seeing as it relates to general and near vision.
EDUCATION:
CPC or CCA certification required.
TRAINING AND EXPERIENCE:
At least 2 years of active E&M and/or Surgical Coding
experience required. Must possess a comprehensive knowledge of
ICD-10-CM, CPT and HCPCS coding. -Knowledge and experience in
dealing with third party insurance companies relative to claim
processing and coding denials follow up. -Epic Resolute experience
helpful
Please complete your application using your full legal name and
-current home address. -Be sure to -include -employment history for
-the past seven (7) years, including your present employer. -
Additionally, you are -encouraged to upload a current resume,
including all work history, education, and/or certifications and
-licenses, if applicable. -It is highly recommended that you create
a profile at the conclusion of submitting your first application.
-Thank you for your interest in St. Luke's!!
Keywords: St. Luke's University Health Network, Bethlehem , Claim and Denials Coding Analyst, Professions , Allentown, Pennsylvania
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