Clinician Services Analyst Senior - Primary Care

American Addiction Centers•Milwaukee, WI

2d•$38 - $57•Remote

About The Position

The Clinician Services Analyst Senior will monitor and analyze Key Performance Indicators (KPIs) to identify trends and transform data into actionable reports and presentations that support strategic decision-making. This role may participate in Service Line leadership meetings to represent Clinician Services, share updates, propose improvements, and align departmental efforts with organizational strategy. The analyst will collaborate with leadership and cross-functional teams, including Coding, CDI, CMD, Integrity Operations, Optimization & Technology, and Clinical Informatics, to identify improvement opportunities and advance documentation practices. Additionally, the position provides operational and technical guidance to staff and stakeholders, ensuring clarity and consistency in documentation and coding processes. The role requires demonstrating compliance with regulatory requirements such as CMS, QIOs, NCCI edits, and payer-specific guidelines, while adhering to AHIMA’s Standards of Ethical Coding. Proficiency in EHR systems and coding tools is necessary for maintaining data integrity and supporting efficient documentation workflows. The analyst must maintain patient record confidentiality and report any perceived non-compliant practices to leadership. Continuous learning is essential to stay current with evolving coding guidelines, practices, and terminology. The role also involves promoting a collaborative, service-oriented culture, modeling professionalism and teamwork.

Requirements

Registered Health Information Administrator (RHIA) or Registered Health Information Technician (RHIT) certification, or Coding Specialist (CCS) certification, or Coding Specialist – Physician (CCS-P) certification issued by the American Health Information Management Association (AHIMA) or Professional Coder (CPC) certification issued by the American Academy of Professional Coders (AAPC).
Specialty credential required
Completion of advanced training through a recognized or accredited program, equivalent in scope and rigor to post-secondary education or equivalent knowledge.
High school diploma or GED required
5 years of experience in expert-level professional and/or facility coding, and experience in collaborating with other teams within an organization, and/or educating/training licensed clinicians.
Advanced level of ICD-10- CM/PCS and/or ICD-10-CM/CPT/HCPCS for a large complex health care system or medical group.
Extensive knowledge of third-party reimbursement programs, state and federal regulatory issues, national and local coverage determinants, research-related restrictions, ICD-10 CM/PCS, and CPT/HCPCS coding classifications.
Proficiency in statistical analysis is essential to examine revenue cycle/reimbursement activities and identify and address related issues.
Demonstrated proficiency in the Microsoft Office Suite (Word, Excel, PowerPoint, Teams, etc.) or similar products and in patient accounting and billing systems.
Ability to deal and work effectively with multiple departments and in matrix organizational structures.
Proven ability to influence others not directly reporting to them.
Strong negotiating skills.
Strong oral and written communication skills.
Strong understanding of medical terminology, anatomy, and physiology to support precise code assignment.
Highly proficient in problem-solving and analytical thinking with strong attention to detail.
Advanced knowledge of Epic and other reporting tools to analyze data, generate reports, and optimize workflow efficiencies.

Nice To Haves

Advanced training beyond High School that may include the completion of an accredited or approved program in Medical Coding and/or Associate or Bachelor’s degree preferred.
Specialty credential through AHIMA, AAPC or HFMA

Responsibilities

Monitor and analyze KPIs to identify trends and transform data into actionable reports and presentations that support strategic decision-making.
Participate in Service Line leadership meetings to represent Clinician Services, share updates, propose improvements, and align departmental efforts with organizational strategy.
Collaborate with leadership and cross-functional teams—including Coding, CDI, CMD, Integrity Operations, Optimization & Technology, and Clinical Informatics—to identify improvement opportunities and advance documentation practices.
Provide operational and technical guidance to staff and stakeholders, ensuring clarity and consistency in documentation and coding processes.
Demonstrate compliance with regulatory requirements, including CMS, QIOs, NCCI edits, and payer-specific guidelines, while adhering to AHIMA’s Standards of Ethical Coding.
Utilize EHR systems and coding tools proficiently, maintaining data integrity and supporting efficient documentation workflows.
Maintain confidentiality of patient records.
Report any perceived non-compliant practices to the Clinician Services leadership or compliance officer.
Engage in continuous learning, staying current with evolving coding guidelines, practices, and terminology through training and professional development.
Promote a collaborative, service-oriented culture, modeling professionalism and teamwork across Clinician Services and organizational stakeholders.

Benefits

Comprehensive suite of Total Rewards: benefits and well-being programs
Competitive compensation
Generous retirement offerings
Programs that invest in your career development
Paid Time Off programs
Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
Flexible Spending Accounts for eligible health care and dependent care expenses
Family benefits such as adoption assistance and paid parental leave
Defined contribution retirement plans with employer match and other financial wellness programs
Educational Assistance Program