Sr. Medical Coding Analyst

About the role

Partner with the Director of Coding to oversee the coding charge capture flow and process. Ensure charges are transmitted to the coding work queue for review and coding. Analyze and report to physicians any outstanding documentation, reports, or deficiencies requiring additional information or addendums to properly status and submit billing.

Responsibilities

• Ensure procedural dictations are appropriately documented and timely in TUHS application systems, including EPIC, Provation, and/or Cupid.
• Adhere to and communicate coding guidelines to physicians and leadership.
• Analyze coding trends routinely and develop a long-range plan for training and process improvement.
• Ensure all internal charge capture processes and controls are well-documented and in place to maintain accountability.
• Maintain a reconciliation database to track and trend coding reports and results, reporting on multiple factors and qualifiers.
• Collaborate with TUHS Compliance routinely and provide feedback on areas of educational opportunity.

Requirements

• Associate's Degree or a combination of relevant education and experience in lieu of degree.
• 3 years of experience working in a physician/multi-specialist medical practice and procedural coding.
• Demonstrated knowledge of third-party reimbursement policies and procedures related to professional fee services.
• Demonstrated knowledge of Professional Fee Coding, Billing, and Collection Activity.

Qualifications

• Certified Coding Specialist (CCS) or
• Certified Professional Coder (CPC) or
• Registered Health Information Administrator (RHIA).