Coding Analyst (Temporary) - 12 Month Assignment
Health Care that Starts with You!
Join a truly mission-driven organization! Independent, nonprofit UCare is recognized as one of the Minnesota's leading health plans. We provide more than 225,000 members across Minnesota and western Wisconsin with the health coverage plans and services they need to maintain and improve their health. The innovative coverage we create makes a difference for Medicare-eligible individuals, individuals and families enrolled in Minnesota Health Care Programs, such as MinnesotaCare and Medical Assistance, and disabled adults with special health care needs. UCare is growing in size, membership, products, geographic coverage, and employees. We're an organization that's going places. Be part of a team that cares about you, be part of UCare.
ABOUT UCAREAt UCare, we deliver high-quality health coverage and services to help members of all ages maintain and improve their health. It's a big job that takes innovative ideas, strategic partnerships, and a commitment to doing the right thing. Above all, it takes a compassionate team that is dedicated to making a real difference in the lives of our members and our communities.WORKING AT UCAREWorking at UCare is more than just a career; it's a mission. A mission that defines us as professionals, unites us as an organization, and shapes how we interact with our members and each other. Our values of integrity, community, quality, flexibility, and respect permeate every aspect of our organization - from who we are and how we act, to what we do and how we do it. We owe our continued success to our employees who proudly embody our mission and values in everything they do. CODING ANALYST (TEMPORARY) - 12 MONTH ASSIGNMENT Position DescriptionThis position is responsible to identify and analyze changes (additions, deletions, modifications) to CPT, HCPCS, ICD-10-PCS, ICD-10-CM codes and proprietary laboratory codes and to facilitate the timely implementation of same across all appropriate departments and business systems. Collaborate with Configuration staff to enhance operational effectiveness and efficiency by identifying opportunities for automation of existing manual claims processes. Research coding queue service forms to resolve edit flags and ensure appropriate adjudication of claims. Serve as a subject matter expert and provide information and education on coding and coding-related issues. Facilitate the development of education materials for key areas and identify training opportunities for internal and external customers. Research and resolution of complex claim and reimbursement issues.·Participate in the process for implementation of quarterly, annual and bi-annual updates to CPT, HCPCS, ICD-10-PCS, ICD-10-CM and proprietary laboratory codes ·Identify and analyze coding changes as they relate to accurate claims processing. Minimize rework by ensuring stakeholders are aware of and understand changes and impact on individual lines of business.·Process service forms in coding queues accurately and consistently to maintain expected SLA's. Serve as a primary resource for coding issues related to claims adjudication.·Develop and maintain education/training materials for key internal business areas related to coding and reimbursement issues. Identify how coding changes will impact specific departments or areas. Provide face-to-face education and training as needed·Assist in the development of training and education materials for providers. Present focused education for providers as needed to minimize claim denials and unnecessary rework.·Represent UCare at external professional committees such as Administrative Uniformity Committee Medical Code Technical Advisory Group. Proactively distribute information as appropriate across departments. Participate in and represent coding in internal UCare work groups and committees.·Collaborate with key internal departments to manage and resolve complex claim issues, maximize operational effectiveness, support automation and reduce duplication of effort and re-work.·Collaborate with Claims Training staff to ensure work instructions impacted by coding changes are identified and updated in a timely manner·Assist in the management of the Coding Request Board to resolve coding questions and to complete coding-specific projects ·Other projects and duties as assigned. EducationHigh school or equivalent. Current and valid certification as a professional coder from an accredited institution.Required ExperienceThree years of experience as a certified coder in a healthcare delivery setting, health insurance (payer) setting or Medicare and/or Medicaid setting.Preferred ExperienceMicrosoft Word, Excel and PowerPoint skills. Optum Claims Editing Software (CES) - professional and facility. MACESS. Amisys.THE UCARE DIFFERENCEUCare is proud to be a recognized Star Tribune Top Workplace for the 9th consecutive year. As a part of our collaborative team, you'll experience the rewards that come with helping others and seeing the positive results of your hard work. We value and respect each individual's ideas and contributions, and give you the freedom to grow both personally and professionally. We are centrally located, and offer onsite education, equipment and wellness resources, a myriad of volunteer activities, and a number of other rewards. If you're looking for a welcoming environment that celebrates what you have to offer, helps you build on your strengths, and gives you the opportunity to truly make a difference, we invite you to apply. As an Equal Opportunity/Affirmative Action Employer, we welcome and employ a diverse employee group committed to meeting the needs of UCare, our members, and the communities we serve.
Enter a highly collaborative environment where people are truly engaged, and feedback is valued. You'll enjoy a competitive salary and benefits, as well as a host of other perks, including a nationally recognized wellness program, and a bright, open, award-winning office space in Northeast Minneapolis just minutes from major freeways and retail centers.
At UCare, we welcome and employ a diverse employee group committed to meeting the needs of UCare, our members, and the communities we serve.