CODING ANALYST
About The Position
This position is responsible for auditing, training and monitoring of medical information and the quality of coding and provider documentation for Premier HealthNet, Premier Health Specialists and Upper Valley Professional Corp collectively known as The Premier Physician Network (PPN). This position will report directly to the PPN Clinical Documentation Improvement (CDI) & Coding Quality Manager. The Coding Analyst is responsible for the research, training, and follow-up of coding and provider documentation compliance which affect the operations and reimbursement of the Network. The Coding Analyst will act as an on-call resource; conduct physician and staff training with regard to coding and documentation compliance, and chart audits. This Analyst will consult with CDI & Coding Quality Manager regarding documentation issues and practice patterns. The candidate will interact with physicians, practice managers, office staff, corporate staff, as well as hospital based and non-hospital-based resources.
Requirements
- Demonstrated successful presentation techniques
- Excellent organizational skills
- Excellent customer service skills
- Excellent oral communication skills
- Excellent written communication skills
- Strong knowledge base of ICD-10-CM, CPT and HCPCS coding
- Strong knowledge base of financial analysis techniques
- Strong knowledge base of costing
- Strong knowledge base of federal and state regulatory processes
- Strong knowledge base of insurance billing
- Strong knowledge base of third party payor requirements
- Strong knowledge base of outcome measurements
- Strong knowledge base of medical information management
- Strong knowledge base of practice patterns
- Advanced knowledge of Microsoft 365 (Word, Excel, PPT, Teams)
- CPC, CCS-P, RHIA, RHIT, or CCA certification
- Must possess or obtain a nationally recognized coding credential from AAPC or AHIMA within 18 months of hire
- Continued employment contingent upon successfully passing the credentialing exam within 18 months of hire
- Two (2) years experience with physician office coding
- Demonstrated working knowledge of professional billing
Nice To Haves
- Experience with Epic EMR preferred
Responsibilities
- Auditing medical information
- Training on coding and provider documentation
- Monitoring medical information quality
- Researching coding and provider documentation compliance
- Following up on coding and provider documentation compliance
- Acting as an on-call resource
- Conducting physician and staff training regarding coding and documentation compliance
- Conducting chart audits
- Consulting with CDI & Coding Quality Manager regarding documentation issues and practice patterns
- Interacting with physicians, practice managers, office staff, corporate staff, and hospital-based and non-hospital-based resources
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
