Physician Coding Analyst

Responsibilities

• Review outpatient medical records to assign appropriate ICD-10, CPT, and HCPCS codes.
• Ensure coding accuracy and compliance with regulations, payer policies, and guidelines.
• Work with billing teams to prepare and submit claims, resolving any coding-related denials.
• Collaborate with healthcare providers to clarify documentation and ensure proper code assignment.
• Stay current on coding updates and payer requirements.
• Demonstrative effective communication and response using systems available to both the Hospital Coder and management through telephone and email communication.
• Demonstrate effective use of required software.

Requirements

• No exposure to unpleasant or disagreeable physical environment such as high noise level and exposure to heat and cold.
• No handling or working with potentially dangerous equipment.
• Occasional working hours beyond regularly scheduled hours.
• Occasional travelling to offsite locations.
• Frequent activities subject to significant volume changes of a seasonal/clinical nature.
• Constant work produced is subject to precise measures of quantity and quality.
• Occasional bending.
• Occasional lifting/carrying up to 10 pounds.
• Occasional lifting/carrying up to 25 pounds.
• Frequent reaching.
• Frequent sitting.
• Frequent standing.
• Occasional twisting.
• Occasional driving.
• Frequent walking.

Qualifications

• High school diploma/GED.
• N/A.
• Associate's degree in health information management or medical coding and experience in medical coding or healthcare billing.
• One of the following medical coding certifications from the American Health Information Management Association (AHIMA) or the American Academy of Professional Coders (AAPC) is preferred post-hire within one (1) year:
• Registered Health Information Management Technician (RHIT)
• Registered Health Information Administrator (RHIA)
• Certified Coding Associate (CCA)
• Certified Coding Specialist (CCS)
• Certified Coding Specialist- Physician-Based (CCS-P)
• Certified Professional Coder (CPC)
• Certified Professional Coder (CPC-A)
• Physician specialty certification from AAPC

Skills

• Knowledge of electronic coding systems.
• Proficiency in ICD-10, CPT, and HCPCS coding systems;
• Strong knowledge of outpatient healthcare services and procedures.
• High level of accuracy and attention to detail in reviewing medical records and assigning correct codes.
• Strong verbal and written communication skills to collaborate with healthcare professionals, insurance providers, and internal departments.
• Proficiency in electronic health record (EHR) systems and coding software.

Pay

Hourly

Schedule

Full time