Under the direction and supervision of the Manager of YM Coding and Billing Services, this role monitors the efficiency and accuracy of capturing, coding, and processing billable services for Yale Medicine. The position documents, implements, and monitors policies and workflows to improve charge capture, ensure accuracy and timeliness, and support compliance with Yale Medicine guidelines.
This role also serves as a liaison between clinical departments, revenue cycle services, and compliance teams on coding, billing, education, and charge follow-up matters. The analyst develops reports, performs audits, supports reimbursement projects, and acts as an expert resource for coders.
Bachelor’s degree in Health Care Administration or RN, plus five years of related work experience, or an equivalent combination of education and experience.
Required skills and knowledge:
- Current CPC certification
- Knowledge of CPT, ICD-10, HCPCS, medical terminology, and HIPAA regulations
- Experience with electronic health records, practice application systems, electronic data entry, and web-based applications
- Proficiency with MS Word, Excel, PowerPoint, and Outlook
- Knowledge of medical insurance billing procedures, reimbursement methodologies, and documentation/compliance requirements
- Understanding of government and commercial insurance rules and correct coding initiatives
- Strong analytical, problem-solving, interpersonal, and communication skills
- Ability to work independently and collaboratively across teams
Preferred:
- Epic experience
Location
Connecticut, US
Employment Type
Full-time
Experience Level
Manager
Salary Range
$68,000 - $120,500
Remote work allowed
Yes
Posted
1 month ago