Job Description

Qualifications: Graduate in Lifesciences with Coding certifications : CPC, CCS



Years of Experience : Minimum 3 years of experience and overall 5 years of experience

Position

: Coding Analyst

Job Summary

The Coding Analyst is responsible for reviewing, auditing, and coding medical records for the purpose of reimbursement, training, education, and compliance. Their primary responsibility is to review medical records for complete and accurate documentation, then working with departments and providers on improvement opportunities.

Qualifications

. CPC Certification through AAPC or AHIMA, Required



. In depth knowledge of clinical workflow



. Expert in Microsoft Office products, including Word and Excel



. Minimum 5 Years Coding knowledge including E&M and Surgery



. Training experience preferred



. Expert experience with CCI edits



. Revenue Cycle Management (RCM) experience required



. Denial management and appeals experience, preferred



. Strong verbal and written communication skills



. Understand billing and coding requirements for government and commercial payers

Responsibilities

. Reviewing medical records to determine the appropriate codes for each diagnosis and procedure



. Ensuring that coding is accurate and complies with all relevant regulations and guidelines



. Communicating with healthcare providers to obtain additional information when necessary



. Providing feedback and education to healthcare providers on coding and documentation best practices



. Conducting audits of coding processes and documentation to identify opportunities for improvement



. Staying up-to-date on changes to coding regulations and guidelines, and ensuring that coding processes are updated accordingly



. Collaborating with other healthcare professionals, such as physicians and billing specialists, to ensure that billing and reimbursement processes are efficient and accurate



. Advanced Proficiency with MS-Excel, Word, and PowerPoint



. Account for internal control responsibilities in line with the organization's objectives



. Ability to handle Protected Health Information in a manner consistent with the Health Insurance Portability and Accountability Act (HIPAA)



. Perform another Account management duties as requested or assigned

Work Environment/Physical Demands/Travel Requirements

Ability to travel up to 5% Remote Position * Primarily sedentary, using a computer and phone very often