Drug Reconciliation Analyst/Coder The Drug Reconciliation Analyst/Coder is responsible to reconcile pharmacy transactions via superbills, appointment schedules, remittance advice, pharmacy reports and pharmacy invoices. Research and track all unpaid or denied claims writing appeal letters when necessary. Research any variances in payment to contracted rates. Work with Pharmacy personnel regarding any outstanding issues or discrepancies. Understand and update clinicians and Director on insurance coverage guidelines, benefits and policies. Maintain understanding of State and Federal guidelines. Keeps up to date on all coding requirements and guidelines and in-services as well as assists with any coding needs of the department.
Qualifications:
High School diploma or equivalent required.
Technical Diploma in medical coding with certification.
Completion of a credentialed coding education program.
AHIMA or AAPC certification required.
Certified Professional Coder, Certified Coding Specialist, or equivalent required
Oncology Certified Coder- preferred.
Minimum Requirements:
Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule formats
Works to create and maintain good relationships with Pharmacy department, supervisors and coworkers. Fosters working as a team; dealing with and resolving conflict in a timely, efficient and positive manner.
Minimum of 3 years medical billing experience
Strong attention to detail, analytical and time management skills
Preferred Requirements:
Experience working in an oncology clinic as a coder
Benefits & Perks: Your health and happiness matters! We offer:
Competitive Health, Dental, and Vision Insurance
Short- & Long-Term Disability
Life Insurance
Paid Time Off
Matching Retirement Plans
Tuition Reimbursement
Career growth
And much, much, more!
Jefferson Regional complies with applicable Federal Civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex.