Job: Coding Analyst - SelectHealth

Location: UT-West Valley City
Facility: SelectHealth


Provides expertise in the areas of CPT-4, ICD9-CM, HCPCS and other relevant coding, insurance, reimbursement, compliance initiatives, regulatory legislation and billing practices for SelectHealth. Responsible for processing claims and appeals that are reviewed by the Medical Review department. This typically includes complex claims or claims that have had an extended review. Provide customer service to providers regarding their appeals. Coordinate, track, and implement process review of provider appeals.

Associate's degree and / or two years of insurance industry experience including one year of claims processing experience. Prior experience processing specialty claims and prior customer service experience. Certified Coding Specialist (CCS) or Certified Coding Specialist-Physician-based (CCS-P) certification through AHIMA, or Certified Professional Coder (CPC), Certified Professional Coder-Hospital (CPC-H), or Certified Professional Coder-Payer (CPC-P) through AAPC, or Physician Coding Specialist (PCS), Facility Coding Specialist (FCS) or Coding Specialist for Payers (CSP) through ACMCS is required. If incumbent does not have certification, he/she must obtain certification within one year. Thorough knowledge of CPT-4, ICD-9, HCPCs and revenue codes. Broad knowledge of insurance plans as well as general knowledge of billing procedures, human anatomy, physiology, insurance regulations and compliance. Intermediate level experience with Windows applications includes spreadsheet and word processing applications. Excellent organizational, analytical and communication skills. Ability to establish and maintain rapport with co-workers, physicians and other health care providers. Ability to perform tasks independently and with minimal supervision. Sound judgment and decision making skills.