Coding Patient Billing Analyst II

United Regional • Wichita Falls, TX

12d

About The Position

The PB Coding Analyst II is responsible for accurate coding of simple and advanced professional services, including complex E/M visits and surgical procedures using CPT, HCPCS, and ICD-10-CM coding systems. This role requires strong knowledge of coding guidelines, anatomy, and operative report review to ensure accurate code assignment and optimal reimbursement. This role supports compliance, revenue integrity, and timely claim submission.

Requirements

• High school diploma or equivalent required
• 1-2 years of professional coding experience preferred
• Prior experience with surgical coding and operative reports
• Strong knowledge of E/M coding (including risk-based MDM)
• Strong knowledge of ICD-10-CM diagnosis coding
• Strong knowledge of CPT procedure coding
• Strong knowledge of Surgical CPT coding across one or more specialties
• Strong knowledge of Modifier usage and NCCI guidelines
• Strong knowledge of Medical terminology, anatomy, and surgical procedures
• Strong attention to detail and organizational skills
• Must be able to communicate effectively in English, both verbally and in writing
• Ability to work independently and as part of a team

Nice To Haves

• Coding certification preferred (CPC, CCS-P, or equivalent)

Responsibilities

• Assign accurate CPT, HCPCS, and ICD-10-CM codes for office and outpatient E/M services, complex and specialty-specific procedures, and surgical procedures from operative reports.
• Review and interpret operative notes to determine correct coding, including procedure selection and modifier assignment (e.g., 22, 25, 50, 51, 59, etc.).
• Ensure compliance with NCCI edits, payer policies, and CMS guidelines, and organizational coding policies.
• Identify opportunities for coding optimization while maintaining compliance.
• Assist with charge capture, coding audits, denials, and appeals.
• Maintain a 95% or higher accuracy rating and demonstrate a consistent level of performance, keeping up with industry standards of charts per hr. per area of specialty.
• Stay current with coding updates and regulatory changes.
• Provide feedback and education to providers on documentation improvement.
• Other tasks and responsibilities as assigned.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED