Hospital PB Coder - Denials Management - Remote Job at Mayo Clinic
Why Mayo Clinic
Mayo Clinic is the nation's best hospital (U.S. News & World Report, 2022-2023) and ranked #1 in more specialties than any other care provider. We have a vast array of opportunities ranging from Nursing, Clinical, to Finance, IT, Administrative, Research and Support Services to name a few. Across all locations, you’ll find career opportunities that support diversity, equity and inclusion. At Mayo Clinic, we invest in you with opportunities for growth and development and our benefits and compensation package are highly competitive. We invite you to be a part of our team where you’ll discover a culture of teamwork, professionalism, mutual respect, and most importantly, a life-changing career!
Mayo Clinic offers a variety of employee benefits. For additional information please visit Mayo Clinic Benefits. Eligibility may vary.
Position description
The Denials Management HB PB Coder reviews, analyzes, validates, the claim detailed charge codes and/or will perform corrections as supported by Mayo Clinic’s patient medical record documentation for all visit types in any outpatient or inpatient setting to include, but not limited to inpatient admission and discharges, medical diagnostic services, procedural services and E/M visits level coding information for various practices as part of claims denial resolution.
A Denial Management HB PB Coder will research and resolve coding denials via Epic work queues, and process charge corrections based on medical record reviews, contracts, regulations, and in accordance with Mayo Clinic’s policies. This position is also required to interpret and review physician-professional documentation in validating procedural, supplies, drugs and diagnosis coding for the professional claims. A Denial Management HB PB Coder is also responsible for reviewing hospital inpatient or hospital outpatient documentation in validating claim ICD-10-CM diagnosis codes, ICD-10-PCS codes, and CPT-4 procedural codes for UB-04 Outpatient or Inpatient claims. This position will defend the claim and seek payment from the payer by facilitating resolution of the denial through resubmission of supporting documentation, including discussion(s) with the payer or via the payer’s website.
**This vacancy is not eligible for sponsorship / we will not sponsor or transfer visas for this position.
Qualifications
Additional qualifications
-Knowledge of professional/physician coding rules for inpatient, hospital outpatient, clinic, and/or emergency settings. -Experience with National Correct Coding Initiative edits (NCCI), National Coverage Determinations (NCD), Local Coverage Determinations (LCD), and Outpatient coding guidelines for official coding and reporting.
License or certification
Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), or coding credential of a Certified Coding Specialist (CCS) or Certified Professional Coder (CPC) required.
Exemption status
Non-exempt
Compensation Detail
$28.79 - $38.87 / hour
Benefits eligible
Yes
Schedule
Full Time
Hours / Pay period
80
Schedule details
Monday - Friday, typical business hours of 8:00 am - 5:00 pm.
**This vacancy is not eligible for sponsorship / we will not sponsor or transfer visas for this position.
Weekend schedule
N/A
Remote
No
International Assignment
No
Site description
Mayo Clinic is located in the heart of downtown Rochester, Minnesota, a vibrant, friendly city that provides a highly livable environment for more than 34,000 Mayo staff and students. The city is consistently ranked among the best places to live in the United States because of its affordable cost of living, healthy lifestyle, excellent school systems and exceptionally high quality of life.
Recruiter
Oo Her
EOE
As an Affirmative Action and Equal Opportunity Employer Mayo Clinic is committed to creating an inclusive environment that values the diversity of its employees and does not discriminate against any employee or candidate. Women, minorities, veterans, people from the LGBTQ communities and people with disabilities are strongly encouraged to apply to join our teams. Reasonable accommodations to access job openings or to apply for a job are available.
Mayo Clinic is the nation's best hospital (U.S. News & World Report, 2022-2023) and ranked #1 in more specialties than any other care provider. We have a vast array of opportunities ranging from Nursing, Clinical, to Finance, IT, Administrative, Research and Support Services to name a few. Across all locations, you’ll find career opportunities that support diversity, equity and inclusion. At Mayo Clinic, we invest in you with opportunities for growth and development and our benefits and compensation package are highly competitive. We invite you to be a part of our team where you’ll discover a culture of teamwork, professionalism, mutual respect, and most importantly, a life-changing career!
Mayo Clinic offers a variety of employee benefits. For additional information please visit Mayo Clinic Benefits. Eligibility may vary.
Position description
The Denials Management HB PB Coder reviews, analyzes, validates, the claim detailed charge codes and/or will perform corrections as supported by Mayo Clinic’s patient medical record documentation for all visit types in any outpatient or inpatient setting to include, but not limited to inpatient admission and discharges, medical diagnostic services, procedural services and E/M visits level coding information for various practices as part of claims denial resolution.
A Denial Management HB PB Coder will research and resolve coding denials via Epic work queues, and process charge corrections based on medical record reviews, contracts, regulations, and in accordance with Mayo Clinic’s policies. This position is also required to interpret and review physician-professional documentation in validating procedural, supplies, drugs and diagnosis coding for the professional claims. A Denial Management HB PB Coder is also responsible for reviewing hospital inpatient or hospital outpatient documentation in validating claim ICD-10-CM diagnosis codes, ICD-10-PCS codes, and CPT-4 procedural codes for UB-04 Outpatient or Inpatient claims. This position will defend the claim and seek payment from the payer by facilitating resolution of the denial through resubmission of supporting documentation, including discussion(s) with the payer or via the payer’s website.
- This position is 100% remote work. Individual may live anywhere in the US.
**This vacancy is not eligible for sponsorship / we will not sponsor or transfer visas for this position.
Qualifications
- Associate’s Degree required; Bachelor’s Degree is preferred in a health care related area.
- Minimum of 2 years of physician/professional coding experience and minimum of 2 years of hospital outpatient coding experience or minimum of 2 years of relevant hospital inpatient coding experience including DRG assignment.
Additional qualifications
-Knowledge of professional/physician coding rules for inpatient, hospital outpatient, clinic, and/or emergency settings. -Experience with National Correct Coding Initiative edits (NCCI), National Coverage Determinations (NCD), Local Coverage Determinations (LCD), and Outpatient coding guidelines for official coding and reporting.
- In-depth knowledge of medical terminology, disease processes, patient health record content and the medical record coding process.
- Knowledge of principles, methods, and techniques related to compliant healthcare billing/collections.
- Familiarity with provider based billing (PBB) and critical access hospital (CAH) coding and billing requirements is a plus.
License or certification
Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), or coding credential of a Certified Coding Specialist (CCS) or Certified Professional Coder (CPC) required.
Exemption status
Non-exempt
Compensation Detail
$28.79 - $38.87 / hour
Benefits eligible
Yes
Schedule
Full Time
Hours / Pay period
80
Schedule details
Monday - Friday, typical business hours of 8:00 am - 5:00 pm.
- This position is 100% remote work. Individual may live anywhere in the US.
**This vacancy is not eligible for sponsorship / we will not sponsor or transfer visas for this position.
Weekend schedule
N/A
Remote
No
International Assignment
No
Site description
Mayo Clinic is located in the heart of downtown Rochester, Minnesota, a vibrant, friendly city that provides a highly livable environment for more than 34,000 Mayo staff and students. The city is consistently ranked among the best places to live in the United States because of its affordable cost of living, healthy lifestyle, excellent school systems and exceptionally high quality of life.
Recruiter
Oo Her
EOE
As an Affirmative Action and Equal Opportunity Employer Mayo Clinic is committed to creating an inclusive environment that values the diversity of its employees and does not discriminate against any employee or candidate. Women, minorities, veterans, people from the LGBTQ communities and people with disabilities are strongly encouraged to apply to join our teams. Reasonable accommodations to access job openings or to apply for a job are available.
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