Ambulatory Coding Analyst (1.0 D - Hybrid)

Franciscan Alliance•Dyer, IN

8d•Hybrid

About The Position

Franciscan Health is seeking an Ambulatory Coding Analyst to support coding accuracy and compliance with federal and state requirements. The role reviews provider documentation and coding activity, evaluates compliance, prepares audit reports, and discusses findings with providers. This is a hybrid position with part-time onsite and part-time remote work, and travel is required (approximately 40% is listed under expectations; the posting also says travel may be up to 50%).

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 approach, with accuracy in coding, documentation, and compliance.

Nice To Haves

Bachelor's degree.

Responsibilities

Assist the department director and lead analyst in developing an annual review work plan for 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 relevant progress notes for each date of service included in a provider review.
Use auditing software to assess progress notes for key components, CPT compliance, and level of service.
Review pertinent records, compile applicable regulations, summarize findings, and create reports using the established template.
Review audit findings with providers.
Audit physicians whose reports indicate billing activity significantly below the benchmark.
Provide orientation on coding and other billing compliance issues and answer providers’ questions.