Coding Resolution Analyst (Full Time)

North Country Healthcare•Lancaster, NH

5h•Onsite

About The Position

North Country Healthcare (NCH) is a non-profit affiliation of four medical facilities, including hospitals, specialty clinics, and home health and hospice services, located in the White Mountains Region of New Hampshire. NCH employs hundreds of highly-trained individuals and is committed to integrated patient care and the health and well-being of the communities it serves. As a valued team member, this role emphasizes advancing High-Reliability Organization (HRO) principles, embedding a culture of safety, accountability, and consistent high performance. The Revenue Cycle Coding Resolution Analyst is responsible for identifying, analyzing, and resolving barriers that prevent medical records from being coded and finalized. This role performs detailed root cause analysis across the revenue cycle, from documentation and clinical workflows to coding and billing processes. The analyst partners with hospital and clinical departments to address issues, improve documentation quality, reduce delays, and optimize revenue cycle performance, adhering to System Values, Service Excellence, and Standards of Behavior.

Requirements

HS Diploma, GED or Successful Completion of an accredited program through AHIMA or AAPC with certification
CCA or CCS certified
All employees and contracted staff will have either successful completion of an American Heart Association accredited course in Basic Life Support (BLS), or ACLS and PALS combined (for clinical staff), Heartsaver CPR AED (for nonclinical staff), and renewal on a regular basis.
Is responsible for ongoing development of his/her work skills
Educated in CDI
Able to multi-task
Able to identify workload priorities and assign appropriately

Responsibilities

Provides guidance and workflow updates for the coding team.
Root cause analysis of coding delays. Investigates why charts are not coded or finalized by analyzing workflows.
Work Queue Monitoring. Aging accounts, identify trends on stalled accounts, reach out to departments.
Barrier Identification. Identify common barriers such as incomplete documentation, physician queries, system edits, or missing charges.
Cross Department collaboration. Partner with coding, processors, billing, case management, and clinical departments to resolve chart completion issues.
Documentation Improvement. Work with providers and EDM teams to improve clinical documentation that supports accurate and timely coding.
Denial Prevention. Analyze coding-related delays that may lead to denials and implement proactive solutions.
Workflow analysis. Map current workflows to identify breakdowns between departments and recommend improvements.
Resolution Coordination. Track and follow up on unresolved accounts to ensure timely closure and escalation when needed.
Reporting. Review reports, highlight coding delays, root causes and resolution outcomes.
Policy & Compliance Alignment. Ensure all resolution efforts align with coding guidelines, regulatory standards and organizational policies.
Continuous Improvement Initiatives. Assist and support initiatives to reduce DNFB and improve coding turnaround times with the outcomes from departmental collaboration.
Maintains cooperative relationships with various colleagues, demonstrating ability to handle difficult situations, through an approach that reflects consistency and fairness.
Position requires travel to all three NCH facilities and is back up to NCH processors.
Performs additional duties as assigned.