Medical Bill Review Coder/Analyst

WHAT WE'RE LOOKING FOR

Berkshire Hathaway Homestate Companies, Workers Compensation Division, seeks qualified Medical Bill Review Analysts/Coders interested in expanding their career opportunities. We are seeking high-quality hospital coders to help us build a best-in-industry national operation. Coding analysts will employ critical analysis and coding skills to review inpatient and outpatient records for appropriate fee schedule and PPO reductions. This individual will be provided training in workers’ compensation rules and regulations, as well as industry and proprietary programs and systems. 

•  Efficiently reviews medical bills and data reports for data accuracy as well as for completeness.
•  Examines bills for legibility and takes appropriate action to ensure accuracy of documentation.
•  Accurately identifies data from claim information.
•  Identifies and enforces jurisdictional regulatory billing standards and Company standards.
•  Proactively communicates to the supervisor any problems or issues that may adversely impact a client or the company directly.
•  Ensures work is performed in accordance to Company standards, training, and supervisory direction to ensure compliance with corporate and regulatory standards.
•  Fosters a positive and close working relationship with Company staff, including Claims Adjusting, Utilization Review, Resolution Unit, Special Investigations Unit, Legal, Nurse Case Management, Call Center, and Client Services.

• EDUCATION: Minimum of a High School Diploma or equivalent certificate required. Associates Degree (A.A.) or higher from an accredited college or university is preferred.
• CERTIFICATIONS: Certified Coding Specialist (CCS) with the American Health Information Management Association (AHIMA), or Certified Professional Coder (CPC) with the American Academy of Professional Coders, or equivalent certification, highly preferred.
• EXPERIENCE: Prior experience in the field of medicine, including medical building, highly preferred.
• TECHNICAL SKILLS: Ability to master regulatory requirements and best practices for coding and workers compensation bill review in assigned jurisdictions. Proficiency of Microsoft Office Suite software and quickly master proprietary and vended software applications.

• Work-Life Balance
• Work From Home Program (up to 2 days per week)
• Office Within Walking Distance of The Old Market
• Free On-Site Fitness Facility
• Garage Parking

• Paid Time Off
• Paid Holidays
• Retirements Savings Match
• Group Health Insurance (Medical, Dental, and Vision)
• Life and AD&D Insurance
• Long Term Disability Insurance
• Accident and Critical Illness Insurance
• Flexible Savings Accounts
• Paid Community Volunteer Day
• Employee Assistance Program
• Tuition Reimbursement Program
• Employee Referral Program
• Diversity, Equity and Inclusion Program

ABOUT US

With more than 50 years in business, BHHC has grown from a regional organization to a national insurance group, offering insurance products from coast to coast. Relationships are the cornerstone of our culture, and we believe in doing the right thing. That means we invest in our business in every way possible to deliver on our mission and demonstrate that people are what powers our success. Our commitment to financial strength and integrity means our customers can rest assured that we will be there when it counts.

At BHHC we embrace diversity and foster an environment where our people can be their authentic selves. Our differences make us stronger and better together, which fosters a harmonious workplace—something we truly value. We’ve created an approachable and collaborative atmosphere. Here you’ll find a welcoming workplace where everyone can feel valued, supported, and inspired to do great work. Together, we raise the bar by being curious, remaining customer-focused, and operating with integrity.

DISCLAIMERS

This job posting is not intended as an exhaustive listing of responsibilities and qualifications. A copy of the job description is available upon request. The Work from Home Program is subject to certain eligibility requirements.