All about us

You likely know us as an insurance company, but that's just a portion of what we do. Hundreds of thousands of North Dakotans trust us to provide them with personalized service and unmatched access to care. It's a mission we take seriously.

We also work with entities throughout the state to challenge the cost and complexity of health care in North Dakota. This uncompromising goal requires caring, innovative people who are ready and willing to help create a new level of health and well-being in North Dakota and beyond.

Work environment

This opportunity is eligible for remote work or a hybrid work arrangement. We empower our employees to find a work style that is best for them. Learn more at .

This position is eligible for internal and external applications.

Pay Information

Pay Level: 021

FLSA Category: Non-Exempt-Hourly

A day in the life

The Coding Analyst is responsible for accurate maintenance and implementation of medical code sets within the system. This role leads the cross-functional new code implementation process and acts as a subject matter expert to internal stakeholders on the appropriate application of new codes for claims, benefits, and reimbursement logic application within the platform. This role partners with internal stakeholders as a subject matter expert on appropriate billing/coding standards for system processing variances on claims or benefit enhancements.

Your responsibilities will include

• Supports and provides guidance on business requirements to support accurate claims processing and enhance customer experiences.
• Leads implementation of all code sets used for professional and facility claims within the system.
• Creates, implements, audits, and advises internal customers on medical coding reimbursement policy business requirements for claims processing.
• Creates and revises reimbursement coding system requirements, analyzes system impacts, completes system testing, and audits system logic.
• Researches and compares new code structures, national correct coding guidelines, and specialty association guidelines to determine correct application of code sets.
• Completes data analysis to create or revise medical coding reimbursement policies and payment integrity editing for identified system variances.
• Contributes to news articles, coding reimbursement policies, and coding guideline creation or revisions to educate internal and external customers.
• Trains, coaches, and mentors Coding Specialists and collaborates with leadership to support strategic goals within the team.
• Performs work under minimal supervision.
• Addresses minor to moderate issues and refers complex issues to higher-level staff.

What you need to succeed

• Coding certification including CPC, CPC-H, RHIT, CCSP or related from the American Academy of Professional Coders (AAPC) or the American Health Information Management Association (AHIMA)
• At least 3 years of experience with medical coding or billing analysis within a hospital, clinic or fully integrated health system or related experience.
• Bachelor's degree in Business, Healthcare Administration or related field.
• Ability to use tools to identify meaningful patterns and draw conclusions.
• Pays close attention to the details of all work and strives for a high level of accuracy.
• Responds positively to a changing environment while maintaining work efficiency.

Equivalent combination of education, experience or training determined to be acceptable by Human Resources may be substituted, unless regulated by contract or program standards

Benefits and perks

• Wellness incentives including well-being lifestyle spending accounts, employee assistance program and employee discounts.
• Encouraged paid time off including paid holidays and flexible holidays to use as you wish.
• 16 hours of paid volunteer time with a $200 donation to a charity of your choice upon completion of all volunteer hours.
• Employee recognition, community initiative events and yearly company outings.
• Workplace flexibility offering different options for working arrangements and the freedom to make time for important commitments.
• Our core benefits include health, dental, vision and life insurance, short-term and long-term disability and paid parental leave.

Equal opportunity employment

Equal Opportunity Employer of Minorities, Females, Protected Veterans and Individual with Disabilities, as well as Sexual Orientation or Gender Identity.

For questions, please email .

This job posting will be closed 5/13/2024 at 8:00 a.m. (CT). No further applications will be considered.