Ambulatory Coding Analyst

Franciscan Health•Mishawaka, IN

2d•Hybrid

About The Position

Franciscan Health is hiring an Ambulatory Coding Analyst to help ensure medical record coding meets applicable requirements and compliance standards. The analyst reviews provider documentation and coding activity, conducts audits, summarizes findings, and helps providers understand coding and billing compliance. This is a hybrid position with part-time onsite and part-time remote work and travel. The posting describes travel as approximately 40% in one section and up to 50% in another.

Requirements

High school diploma or GED.
Three years of coding experience.
One of the following credentials is required: CCS (Certified Coding Specialist), CPC (Certified Professional Coder), or RHIT (Registered Health Information Technician).
Detail-oriented and highly organized, with accuracy in coding tasks, documentation, and compliance essential.
Able to travel; the posting states approximately 40% travel and up to 50% travel.

Nice To Haves

Bachelor's degree.

Responsibilities

Assist the department director and lead analyst in developing an annual work plan for reviewing assigned providers.
Select providers from the established work plan and use software to compare their average CPT codes with those of their peers.
Obtain and review the provider's progress notes for each date of service included in a review.
Use auditing software to assess progress notes for key components, CPT compliance, and level of service.
Review pertinent records, compile applicable regulations, summarize the review and findings, and prepare a report using the established template.
Review audit findings with each provider.
Audit physicians whose reports indicate that billing activity falls significantly below the benchmark.
Provide orientation on coding and other billing compliance issues and answer providers' pertinent questions.