Medical Coding Educator/Analyst

University of Rochester • City of Rochester, NY

1d • $60,431 - $84,603 • Onsite

About The Position

The Medical Coding Educator/Analyst plays a critical role in ensuring the accuracy, completeness, and compliance of coding practices within the University of Rochester. This position involves developing and delivering coding education programs, conducting regular coding audits, analyzing coding data to identify trends and areas for improvement, and serving as a subject matter expert on coding guidelines and regulations. The goal is to foster a culture of continuous learning and coding excellence among coding staff and the clinical documentation team to ensure accurate and timely assignment of diagnostic and procedural codes for complex patient encounters. This role provides expert-level coding guidance, education, and quality review, acting as a subject matter expert to ensure coding compliance, data integrity, process improvements, system implementations and upgrades, and optimal reimbursement, while also supporting the professional development of the coding team.

Requirements

• Bachelor's degree in Health Information Management, Healthcare Administration, Nursing or a related healthcare field and 4 years of inpatient coding experience in an acute care setting required.
• Or equivalent combination of education and experience.
• Certified Coding Specialist (CCS) required OR Registered Health Information Administrator (RHIA) required OR Registered Health Information Technician (RHIT) upon hire required.

Nice To Haves

• Expert Coding Knowledge, including in-depth understanding of ICD-10-CM/PCS, CPT, HCPCS, MS-DRGs, APR-DRGs, APCs, and NCCI edits.
• Strong knowledge of HIPAA, CMS regulations, OIG guidelines, and other relevant healthcare compliance standards.
• Ability to analyze complex data, identify trends, and draw actionable conclusions.
• Excellent written and verbal communication skills, with the ability to present complex information clearly and concisely to broad audiences.
• Proven ability to develop effective training materials and deliver engaging educational sessions.
• Proficient in Electronic Health Record (EHR) systems, coding encoder software, and Microsoft Office Suite (Word, Excel, PowerPoint).
• Strong ability to build rapport, collaborate effectively, and provide constructive feedback.
• Meticulous attention to detail in auditing and documentation review.
• Proactive approach to identifying and resolving coding and documentation challenges.

Responsibilities

• Develops, implements, and delivers comprehensive coding education programs for new hires and existing coding staff, covering ICD-10-CM/PCS, CPT, HCPCS, DRG, and APC methodologies.
• Provides ongoing education on updates to coding guidelines, regulatory changes, and payer requirements.
• Creates educational materials, presentations, and job aids to support learning and reference.
• Conducts one-on-one coaching and mentoring sessions for coders to address specific areas for improvement.
• Collaborates with the clinical documentation team to provide education to clinicians on documentation best practices that support accurate coding.
• Serves as a resource to coders, clinical documentation specialists, providers, ISD, Compliance, and other billing departments.
• Performs regular internal coding audits (pre-bill and post-bill) to assess coding accuracy, compliance with official guidelines, and adherence to organizational policies.
• Identifies coding discrepancies, documentation deficiencies, and opportunities for revenue integrity improvement.
• Provides constructive feedback to coders based on audit findings and monitors progress on corrective actions.
• Assists in preparing for external audits and responding to audit requests.
• Analyzes coding data, audit results, and denial trends to identify patterns, root causes of errors, and areas requiring focused education or process improvement.
• Generates reports on coding accuracy, productivity, and educational effectiveness for department leadership.
• Monitors key performance indicators (KPIs) related to coding quality and compliance.
• Participates in the development and revision of coding policies, procedures, and guidelines to ensure compliance with regulatory standards and industry best practices.
• Stays current with changes in coding regulations (e.g., CMS, OIG), payer policies, and industry standards.
• Serves as a subject matter expert in coding.
• Other duties as assigned.

Benefits

• The University of Rochester is committed to fostering, cultivating, and preserving an inclusive and welcoming culture to advance the University’s Mission to Learn, Discover, Heal, Create – and Make the World Ever Better.
• In support of our values and those of our society, the University is committed to not discriminating on the basis of age, color, disability, ethnicity, gender identity or expression, genetic information, marital status, military/veteran status, national origin, race, religion, creed, sex, sexual orientation, citizenship status, or any other characteristic protected by federal, state, or local law (Protected Characteristics).
• This commitment extends to non-discrimination in the administration of our policies, admissions, employment, access, and recruitment of candidates, for all persons consistent with our values and based on applicable law.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level