Coding Analyst and Educator

Position: Coding Analyst and Educator

Key Responsibilities:
As a Coding Analyst and Educator, you will play a key role in improving coding accuracy and clean claims processing by:

• Identifying trends in coding errors, supporting root cause analysis, and collaborating with coding and training staff to drive improvements.
• Staying up-to-date on regulations and guidelines to ensure accurate use of CPT codes and documentation.
• Demonstrating expertise in coding systems and medical record documentation requirements, with the ability to interpret clinical documentation for accuracy.

Relationship Services:

• Serve as a key point of contact for clinicians (Physicians and Advanced Practice Providers) regarding documentation and coding issues.
• Engage with clinicians one-on-one to identify opportunities for documentation improvement and collaborate with clinical and coding education teams to provide targeted training.
• Research and interpret coding guidelines and internal business rules to resolve coding inquiries and issues.
• Advise staff on quality improvement opportunities and help correct errors related to coding practices.
• Verify accurate code usage by consulting official coding resources, policies, and manuals, and work with payors to educate them on specific coding rules.

Post-Visit Coding Collaboration:

• Conduct Quality Assurance reviews of post-visit documentation and report quality concerns and coding errors to leadership.
• Identify potential missed coding opportunities within encounters.
• Address non-billable services at the provider level and ensure timely correction of documentation deficiencies, such as missing chief complaints or time for audio-only visits.
• Serve as a liaison between teams to ensure timely updates on documentation requirements and process changes.
• Collaborate with compliance and coding education specialists to create effective educational resources.

Other Duties:

• Lead special projects and initiatives within the division/market as requested by leadership.
• Perform chart reviews to identify educational opportunities and conduct individual chart research when needed.
• Participate in payor calls and chart reviews, compiling findings and assisting with follow-up research.
• Engage in payor meetings to ensure accurate data submission and maintain relationships with payor representatives.

Education and Experience:

• Minimum of 5 years of coding experience in a multi-specialty healthcare setting.
• Certified Professional Coder (CPC) certification for at least 5 years.
• Advanced coding certifications preferred.
• Experience in training and educating providers, coders, and staff.
• Knowledge of EclinicalWorks preferred.

Job Details:

• Full-time position.
• Remote work opportunity available.
• Video chat required for meetings and collaboration.
• Excellent verbal and written communication skills are essential.

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