CODING ANALYST

PHP Staging Mobile Taleo; Dayton (OH); On-site; USD 60,000 - 80,000; Full time

Job summary

Premier Physician Network (PPN) in Moraine, OH seeks a Coding Analyst responsible for auditing, training and monitoring the quality of coding and provider documentation across the network. This role reports to the PPN CDI & Coding Quality Manager.

The analyst will conduct chart audits, provide training to physicians and staff on coding compliance, and serve as an on-call resource for documentation issues, interacting with clinicians, office staff and corporate teams.

Qualifications

• The candidate must demonstrate successful presentation techniques and possess excellent organizational, customer service, and both oral and written communication skills.
• He/She should possess a strong knowledge base of ICD-10-CM, CPT and HCPCS coding, financial analysis techniques, costing, federal and state regulatory processes, insurance billing, third party payor requirements, outcome measurements, medical information management and practice patterns.
• Advanced knowledge of Microsoft 365 (Word, Excel, PPT, Teams).

Responsibilities

• Audit physician charts for coding accuracy and documentation quality.
• Provide trainings on coding guidelines and regulatory requirements to physicians and staff.
• Collaborate with CDI & Coding Quality Manager on documentation issues and practice patterns.
• Serve as an on-call resource for coding questions and chart audits.
• Interact with physicians, practice managers, office staff, corporate staff, and hospital-based resources.

Skills

ICD-10-CM coding

CPT coding

HCPCS coding

Financial analysis

Costing

Regulatory knowledge

Insurance billing

Third party payor requirements

Outcome measurements

Medical information management

Practice patterns

Education

CPC

CCS-P

RHIA

RHIT

CCA

Tools

Epic EMR

Microsoft 365

Job description

CODING ANALYST(

Description

Summary of Position

This position is responsible for auditing, training and monitoring of medical information and the quality of coding and provider documentation for Premier HealthNet, Premier Health Specialists and Upper Valley Professional Corp collectively known as The Premier Physician Network (PPN). This position will report directly to the PPN Clinical Documentation Improvement (CDI) & Coding Quality Manager.

Nature and Scope

The Coding Analyst is responsible for the research, training, and follow-up of coding and provider documentation compliance which affect the operations and reimbursement of the Network. The Coding Analyst will act as an on-call resource; conduct physician and staff training with regard to coding and documentation compliance, and chart audits. This Analyst will consult with CDI & Coding Quality Manager regarding documentation issues and practice patterns. The candidate will interact with physicians, practice managers, office staff, corporate staff, as well as hospital based and non-hospital-based resources.

Qualifications

Qualifications

The candidate must demonstrate successful presentation techniques and possess excellent organizational, customer service, and both oral and written communication skills. He/She should possess a strong knowledge base of ICD-10-CM, CPT and HCPCS coding, financial analysis techniques, costing, federal and state regulatory processes, insurance billing, third party payor requirements, outcome measurements, medical information management and practice patterns. He/She should also have advanced knowledge of Microsoft 365 (Word, Excel, PPT, Teams).

Certification: CPC, CCS-P, RHIA, RHIT, or CCA. Must possess or obtain a nationally recognized coding credential from AAPC or AHIMA within 18 months of hire. Continued employment in this role is contingent upon successfully passing the credentialing exam within this timeframe.

Experience: Two (2) years experience with physician office coding.

Demonstrated working knowledge of professional billing

Experience with Epic EMR preferred

Primary Location

: OHIO-MORAINE-Moraine Building B – PPN

Work Locations

:
Moraine Building B – PPN
3170 KETTERING BLVD BLDG B
MORAINE 45439-1924

Shift Hours : 8:00am-4:30pm Shift Length : 8 Hour Shift Length Budgeted Hours (per pay) : 08