Clinician Service Analyst Senior- Medical Specialties

Advocate Aurora Health; Milwaukee (WI); Remote; USD 60,000 - 80,000; Full time

Job summary

A leading healthcare organization in Wisconsin is looking for a full-time Coding Specialist. Responsibilities include monitoring KPIs, collaborating with teams, and ensuring accurate coding practices. Candidates should have at least 5 years of relevant coding experience and necessary certifications. This remote position offers competitive pay and a comprehensive benefits package.

Benefits

Paid Time Off

Health and welfare benefits

Retirement plans

Educational Assistance Program

Qualifications

• Registered Health Information Administrator (RHIA) or similar certification required.
• 5 years of experience in expert-level coding is required.
• Advanced knowledge of ICD-10-CM and CPT/HCPCS coding classifications.

Responsibilities

• Monitor KPIs and transform data into actionable reports.
• Collaborate with leadership and cross-functional teams.
• Provide guidance ensuring clarity in documentation processes.

Skills

Statistical analysis

Proficient in Microsoft Office Suite

Strong oral and written communication skills

Knowledge of medical terminology

Problem-solving

Analytical thinking

Advanced knowledge of Epic

Education

High school diploma or GED

Advanced training through a recognized program

Tools

EHR systems

Patient accounting and billing systems

Job description

Department: 13375 Enterprise Revenue Cycle - Group and Service Line Support Primary Care and Medical Specialties

Status: Full time

Benefits Eligible: Yes

Hours Per Week: 40

Schedule Details/Additional Information: Full time, First shift, Remote

Pay Range $37.50 - $56.25

Major Responsibilities:

• Monitor and analyze KPIs to identify trends and transform data into actionable reports and presentations that support strategic decision-making.
• May participate in Service Line leadership meetings to represent Clinician Services, share updates, propose improvements, and align departmental efforts with organizational strategy.
• Collaborate with leadership and cross-functional teams—including Coding, CDI, CMD, Integrity Operations, Optimization & Technology, and Clinical Informatics—to identify improvement opportunities and advance documentation practices.
• Provide operational and technical guidance to staff and stakeholders, ensuring clarity and consistency in documentation and coding processes.
• Demonstrate compliance with regulatory requirements, including CMS, QIOs, NCCI edits, and payer-specific guidelines, while adhering to AHIMA’s Standards of Ethical Coding.
• Utilize EHR systems and coding tools proficiently, maintaining data integrity and supporting efficient documentation workflows.
• Maintains confidentiality of patient records. Reports any perceived non-compliant practices to the Clinician Services leadership or compliance officer.
• Engage in continuous learning, staying current with evolving coding guidelines, practices, and terminology through training and professional development.
• Promote a collaborative, service-oriented culture, modeling professionalism and teamwork across Clinician Services and organizational stakeholders.

Licensure, Registration, and/or Certification Required:

• Registered Health Information Administrator (RHIA) or Registered Health Information Technician (RHIT) certification, or Coding Specialist (CCS) certification, or Coding Specialist – Physician (CCS-P) certification issued by the American Health Information Management Association (AHIMA) or Professional Coder (CPC) certification issued by the American Academy of Professional Coders (AAPC).
• Specialty credential required

Education Required:

• Completion of advanced training through a recognized or accredited program, equivalent in scope and rigor to post-secondary education or equivalent knowledge. High school diploma or GED required

Experience Required:

• 5 years of experience in expert-level professional and/or facility coding, and experience in collaborating with other teams within an organization, and/or educating/training licensed clinicians. Advanced level of ICD-10- CM/PCS and/or ICD-10-CM/CPT/HCPCS for a large complex health care system or medical group.

Knowledge, Skills & Abilities Required:

• Extensive knowledge of third-party reimbursement programs, state and federal regulatory issues, national and local coverage determinants, research-related restrictions, ICD-10 CM/PCS, and CPT/HCPCS coding classifications.
• Proficiency in statistical analysis is essential to examine revenue cycle/reimbursement activities and identify and address related issues.
• Demonstrated proficiency in the Microsoft Office Suite (Word, Excel, PowerPoint, Teams, etc.) or similar products and in patient accounting and billing systems.
• Ability to deal and work effectively with multiple departments and in matrix organizational structures. Proven ability to influence others not directly reporting to them. Strong negotiating skills. Strong oral and written communication skills.
• Strong understanding of medical terminology, anatomy, and physiology to support precise code assignment.
• Highly proficient in problem-solving and analytical thinking with strong attention to detail.
• Advanced knowledge of Epic and other reporting tools to analyze data, generate reports, and optimize workflow efficiencies

Physical Requirements and Working Conditions:

• Follows organizational and divisional remote work policy and guidelines.
• Operates all equipment necessary to perform the job.
• Handles a fast-paced and creative work environment moving independently from one task to another.
• Makes sound decisions within limited time frames and always conducts business in a professional manner and has demonstrates ability to work cooperatively and effectively with others on an individual and team basis.

About Advocate Health

Advocate Health is the third-largest nonprofit, integrated health system in the United States, created from the combination of Advocate Aurora Health and Atrium Health. Providing care under the names Advocate Health Care in Illinois; Atrium Health in the Carolinas, Georgia, and Alabama; and Aurora Health Care in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience, and value-based care.

Our Commitment to You: Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development, and so much more – so you can live fully at and away from work, including:

• Compensation: Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training
• Premium pay such as shift, on-call, and more based on a teammate's job
• Incentive pay for select positions
• Opportunity for annual increases based on performance

• Benefits and more: Paid Time Off programs, Health and welfare benefits, Flexible Spending Accounts, Family benefits, Defined contribution retirement plans, Educational Assistance Program