Coding Compliance Analyst - St. Luke's Health Plan

At St. Luke’s, we pride ourselves on fostering a workplace culture that values diversity, promotes collaboration, and prioritizes employee well-being. Our commitment to excellence in patient care extends to creating an environment where our team can thrive both personally and professionally. With opportunities for growth, competitive benefits, and a supportive community of colleagues, St. Luke’s is truly a great place to work.

What You Can Expect:

• Hybrid or on site work option
• Full benefits with contributions
• Conduct routine and ad-hoc reviews of CPT code configurations within the health plan, ensuring they are appropriately designed, implemented, and in alignment with current coding guidelines, payer requirements, and regulations
• Analyze and review documentation for completeness to ensure documentation supports the level or type of services billed and documentation is in compliance with all guidelines and regulations
• Provide feedback and education to providers regarding coding and documentation issues that impact billing compliance and payment integrity

Qualifications:

• Education: Bachelor's degree or experience in lieu of degree

• Experience: 3 years relevant experience

• Licenses/Certifications: Must have at least one of the following credentials: RHIA (Registered Health Information Administrator), RHIT (Registered Health Information Technician), CCS (Certified Coding Specialist), CPC (Certified Professional Coder), COC (Certified Outpatient Coder), CIC (Certified Inpatient Coder), CRC (Certified Risk Adjustment Coder)

   

At St. Luke’s, caring for people in the communities we serve is our mission – and this includes our own SLHS team. We offer a robust benefits package to support our teams both professionally and personally. In addition to a competitive salary and retirement plans, we ensure our team feels supported in their benefits beyond the typical medical, dental, and vision offerings. We care about you and have fantastic financial and physical wellness options, such as: on-site massages, on-site counseling via our Employee Assistance Program, access to the Virgin Pulse Wellness tool, as well as other formal training and career development offerings to ensure you are meeting your career goals.

St. Luke’s is an equal opportunity employer and does not discriminate against any person on the basis of race, religion, color, gender, gender identity, sexual orientation, age, national origin, disability, veteran status, or any other status or condition protected by law.

*Please note: this posting is not reflective of all job duties and responsibilities and is intended to provide an overview to job seekers.