The Invasive Coding Analyst identifies and analyzes denials, determines solutions, and implements corrections to improve accurate claim processing and payment. The role investigates denial and coding issues related to services provided and associated charges, reviews billing and coding errors, and collaborates with leadership on insurance issues, departmental procedures, and operational improvements.
This position serves as a subject matter expert for orthopaedic services and may act as a coding and billing resource. It supports denial reviews, denial trending reports, reimbursement improvement opportunities, physician education on clinical documentation, and analysis of complex patient accounts. The role also provides guidance to RCM specialists and reports payer processing trends to management.
Education
- High school diploma required
Experience
- Minimum of 3 years of demonstrated coding proficiency required
Certifications
- RHIT, RHIA, CCA, CCS, CPC, or CPC-H required
Additional qualifications
- Strong oral and written communication skills
- Team-oriented with initiative, organizational skills, analytical ability, and attention to detail
- Ability to work independently
- Working knowledge of computer systems used in healthcare operations
- Proficiency with Word, Excel, and web-based research for coding and billing information
- Ability to provide transportation for travel to other work sites
Benefits and perks
- Comprehensive medical, dental, and vision benefits
- Employer-funded pension plan, vested after five years
- Voluntary 403(b)
- Paid time off accrued from day one
- Onsite fitness studios
- Discounts to Carilion Wellness centers
- Access to the Personify Health wellness app
- Childcare discounts
- Continued education and training
Location
Virginia, US
Employment Type
Full-time
Experience Level
Associate
Remote work allowed
No
Posted
3 months ago