Code Based Reimbursement Analyst
The Code-Based Reimbursement Analyst performs audits of Charge Master driven and HIM assigned
codes and medical record documentation against the itemized charges and facility assigned on
government and non-government accounts and adjusts them for incorrect items and/or services;
Assists with billing edit resolution and provides coverage guidelines for billable services. Relies on
education, some experience and judgment to accomplish job and works under general supervision.
Creativity and some latitude is expected to complete responsibilities of the role
Experience: 3 years experience
Education: Associate Degree in Nursing or HIM
Special Skills: Proficient in payment review systems, payment methodologies and insurance terms. Ability to synthesize and evaluate data. In-depth knowledge of ICD-9-CM, HCPCS, CPT-4 nomenclature, codes and guidelines and 3M coding software.
Licensure: Current RHIT or LPN License