Ambulatory Coding Analyst (1.0)

Franciscan Alliance, Inc.

28d • Hybrid

About The Position

Sierra Drive Campus 1040 Sierra Dr Greenwood, Indiana 46143 Medical record documentation has become an industry all its own. An industry that has strict coding requirements and compliance standards. Our Ambulatory Coding Analyst must be current on all federal and state requirements and procedures. Our physicians and healthcare providers depend on it. WHO WE ARE With 12 ministries and access points across Indiana and Illinois, Franciscan Health is one of the largest Catholic health care systems in the Midwest. Franciscan Health takes pride in hiring coworkers that provide compassionate, comprehensive care for our patients and the communities we serve. WHAT YOU CAN EXPECT Hybrid Position – Part-time onsite and part-time remote work Approximately 40% Travel Assist the department director and lead analyst in the development of an annual work plan for the review of each provider assigned to them. Select a provider from the established work plan and use software, to compare the average of CPT codes utilized by the provider as compared to their peers. Obtain and review the respective progress note for the provider they are reviewing for each date of service involved in the review. Use auditing software to assess each progress note for key components, CPT compliance, and level of service. Review pertinent records, compile the applicable regulations, summarize the review and findings, and create a report using the established template. Review findings from audits with each provider. Audit physicians whose report indicated billing activity falls significantly below the benchmark. Provide orientation on coding and other billing compliance issues, and answer pertinent questions from the provider.

Requirements

• High School Diploma/GED - Required
• 3 years Coding Experience - Required
• Certified Coding Specialist (CCS) - Required or Certified Professional Coder (CPC) -- Required
• Detail-oriented and highly organized, with the ability to accurately manage coding tasks and documentation - Required

Nice To Haves

• RHIT or RHIA - Preferred

Responsibilities

• Assist the department director and lead analyst in the development of an annual work plan for the review of each provider assigned to them.
• Select a provider from the established work plan and use software, to compare the average of CPT codes utilized by the provider as compared to their peers.
• Obtain and review the respective progress note for the provider they are reviewing for each date of service involved in the review.
• Use auditing software to assess each progress note for key components, CPT compliance, and level of service.
• Review pertinent records, compile the applicable regulations, summarize the review and findings, and create a report using the established template.
• Review findings from audits with each provider.
• Audit physicians whose report indicated billing activity falls significantly below the benchmark.
• Provide orientation on coding and other billing compliance issues, and answer pertinent questions from the provider.

Benefits

• Franciscan provides eligible employees with comprehensive benefit offerings. Find an overview on the benefit section of our career site, jobs.franciscanhealth.org.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED
• Number of Employees: 5,001-10,000 employees