Ambulatory Coding Analyst (1.0 D - Hybrid)

Franciscan Alliance, Inc.•Dyer, IN

9d•Hybrid

About The Position

The Ambulatory Coding Analyst reviews provider coding and documentation for accuracy, compliance, and adherence to federal and state requirements. The role works with the department director and lead analyst to develop an annual provider review work plan, then selects providers for review and compares their average CPT code use with that of their peers using software. The analyst reviews progress notes for relevant dates of service, assesses each note for key components, CPT compliance, and level of service using auditing software, and prepares reports summarizing applicable regulations and findings. The analyst reviews audit results with providers, audits physicians whose billing activity falls significantly below the benchmark, and provides coding and billing-compliance orientation and answers provider questions. This is a hybrid position with part-time onsite and part-time remote work and approximately 40% travel indicated; the posting also states travel may be up to 50%.

Requirements

High school diploma or GED.
Three years of coding experience.
One of the following required credentials: CCS (Certified Coding Specialist), CPC (Certified Professional Coder), or RHIT (Registered Health Information Technician).

Nice To Haves

Bachelor's degree.

Responsibilities

Assist the department director and lead analyst in developing an annual work plan to review assigned providers.
Select providers from the established work plan and compare their average CPT code use with peer averages using software.
Obtain and review provider 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 audit findings, and create a report 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 billing-compliance issues and answer providers’ questions.