Coding Analyst and Educator
About The Position
As a Coding Analyst and Educator, you will play a key role in improving coding accuracy and clean claims processing by: Identifying trends in coding errors, supporting root cause analysis, and collaborating with coding and training staff to drive improvements. Staying up-to-date on regulations and guidelines to ensure accurate use of CPT codes and documentation. Demonstrating expertise in coding systems and medical record documentation requirements, with the ability to interpret clinical documentation for accuracy. Serve as a key point of contact for clinicians (Physicians and Advanced Practice Providers) regarding documentation and coding issues. Engage with clinicians one-on-one to identify opportunities for documentation improvement and collaborate with clinical and coding education teams to provide targeted training. Research and interpret coding guidelines and internal business rules to resolve coding inquiries and issues. Advise staff on quality improvement opportunities and help correct errors related to coding practices. Verify accurate code usage by consulting official coding resources, policies, and manuals, and work with payors to educate them on specific coding rules. Conduct Quality Assurance reviews of post-visit documentation and report quality concerns and coding errors to leadership. Identify potential missed coding opportunities within encounters. Address non-billable services at the provider level and ensure timely correction of documentation deficiencies, such as missing chief complaints or time for audio-only visits. Serve as a liaison between teams to ensure timely updates on documentation requirements and process changes. Collaborate with compliance and coding education specialists to create effective educational resources. Lead special projects and initiatives within the division/market as requested by leadership. Perform chart reviews to identify educational opportunities and conduct individual chart research when needed. Participate in payor calls and chart reviews, compiling findings and assisting with follow-up research. Engage in payor meetings to ensure accurate data submission and maintain relationships with payor representatives.
Requirements
- Minimum of 5 years of coding experience in a multi-specialty healthcare setting.
- Certified Professional Coder (CPC) certification for at least 5 years.
- Experience in training and educating providers, coders, and staff.
- Excellent verbal and written communication skills are essential.
Nice To Haves
- Advanced coding certifications preferred.
- Knowledge of EclinicalWorks preferred.
Responsibilities
- Identifying trends in coding errors, supporting root cause analysis, and collaborating with coding and training staff to drive improvements.
- Staying up-to-date on regulations and guidelines to ensure accurate use of CPT codes and documentation.
- Demonstrating expertise in coding systems and medical record documentation requirements, with the ability to interpret clinical documentation for accuracy.
- Serve as a key point of contact for clinicians (Physicians and Advanced Practice Providers) regarding documentation and coding issues.
- Engage with clinicians one-on-one to identify opportunities for documentation improvement and collaborate with clinical and coding education teams to provide targeted training.
- Research and interpret coding guidelines and internal business rules to resolve coding inquiries and issues.
- Advise staff on quality improvement opportunities and help correct errors related to coding practices.
- Verify accurate code usage by consulting official coding resources, policies, and manuals, and work with payors to educate them on specific coding rules.
- Conduct Quality Assurance reviews of post-visit documentation and report quality concerns and coding errors to leadership.
- Identify potential missed coding opportunities within encounters.
- Address non-billable services at the provider level and ensure timely correction of documentation deficiencies, such as missing chief complaints or time for audio-only visits.
- Serve as a liaison between teams to ensure timely updates on documentation requirements and process changes.
- Collaborate with compliance and coding education specialists to create effective educational resources.
- Lead special projects and initiatives within the division/market as requested by leadership.
- Perform chart reviews to identify educational opportunities and conduct individual chart research when needed.
- Participate in payor calls and chart reviews, compiling findings and assisting with follow-up research.
- Engage in payor meetings to ensure accurate data submission and maintain relationships with payor representatives.
Stand Out From the Crowd
Upload your resume and get instant feedback on how well it matches this job.
What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed
Number of Employees
501-1,000 employees
