Coding Analyst

Unified Women's Healthcare; Florida; On-site; USD 65,000 - 85,000; Full time

Benefits offered by this job

Health Coverage

Paid Time Off

Retirement Plan (401k)

Disability Insurance

Wellbeing Benefits

Professional Development

Job summary

Unified Women’s Healthcare in Florida seeks a Coding Analyst to review and optimize medical billing, coding, and compliance across OB/GYN practices. You will audit charts, resolve denials, and educate providers to ensure accurate reimbursement.

The role requires a CPC certification with at least five years in medical coding or related back-office work, preferably with OB/GYN exposure. You’ll collaborate with Revenue Cycle, support policy updates, and help maintain regulatory compliance.

Qualifications

• Minimum 5 years’ experience as a biller, collector, coder, or back office support staff in medical industry.
• CPC certification required; OB/GYN experience preferred but not required.
• Knowledge of auditing concepts, medical coding, billing systems, and regulatory requirements.
• Strong communication and interpersonal skills; ability to handle confidential information.
• Familiarity with payor policies, denials, and AR management is a plus.

Responsibilities

• Provide second-level review of billing to ensure compliance and optimal reimbursement.
• Audit medical records to identify under-coded or over-coded services; educate providers on proper coding.
• Interact with physicians and staff regarding billing policies; resolve ambiguities through queries with providers.
• Collaborate with Revenue Cycle team to follow up on patient accounts and resubmissions.
• Monitor payor policy changes and advise on coding practices to maintain compliance.
• Train staff on coding guidelines and regulatory provisions; support practice administrators.

Skills

Medical coding experience

OB/GYN experience

Auditing concepts

Communication skills

Confidential information handling

Education

CPC certification

Associates degree preferred

Job description

Unified Women’s Healthcare is a company dedicated to caring for OB/GYN providers who care for others, be they physicians or their support staff. A team of like-minded professionals with significant business and healthcare experience, we operate with a singular mindset - great care needs great care. We take great pride in not just speaking about this, but executing on it.

Unified Women’s Healthcare is a company dedicated to caring for OB/GYN providers who care for others, be they physicians or their support staff. A team of like-minded professionals with significant business and healthcare experience, we operate with a singular mindset - great care needs great care. We take great pride in not just speaking about this, but executing on it. As a company, our mission is to be an indispensable source of business knowledge, innovation and support to the practices in our network. We are advocates for our OB/GYN medical affiliates – enabling them to focus solely on the practice of medicine while we focus on the business of medicine. We are action oriented. We strategize, implement and execute – on behalf of the practices we serve.

The Coding Analyst is entrusted with the job of reviewing, auditing and coding provider’s documentation for the purpose of reimbursement, training, education and compliance using ICD-10 and CPT codes. The successful applicant will serve as an information resource and guide to our providers, clinical staff, practice managers, members of the Revenue Cycle team and other leadership. This position will be directly involved in analyzing pre-bill claim edits, claim denials and AR management, and working alongside the Revenue Specialists, will review and amend denied claims to ensure accurate coding and adherence to payor policy requirements. The Coding Analyst will assist the Revenue Cycle Manager in proactive audits of medical charts and records for compliance with federal coding regulations and guidelines.

This role utilizes knowledge of client systems and procedures to provide a second level review of codes assigned to medical diagnoses and clinical procedures, ensuring that medical billing conforms to legal and procedural requirements. The Coding Analyst reviews, develops, and/or modifies client procedures, systems, and protocols to achieve and maintain compatibility with billing requirements and compliance standards.

Responsibilities

• Provide second-level review of billing performances to ensure compliance with legal and procedural policies and to ensure optimal reimbursements while adhering to regulations prohibiting unbundling and other questionable practices
• Audit medical record documentation to identify under-coded and over-coded services; prepare reports of findings and meet with providers to provide education and training on accurate coding practices and compliance issues
• Interact with physicians and other patient care providers regarding billing and documentation policies, procedures, and regulations; obtain clarification of conflicting, ambiguous, or non-specific documentation through provider queries
• Submit any issues or trends found within documentation by a physician and /or physician extender to Revenue Cycle Manager and/or practice administrator
• Interact with Revenue Specialists and practice billing specialists to ensure appropriate and complete follow-up of patient accounts to maximize reimbursement through AR management processes, including corrections and resubmissions as needed
• Analyze individual payor performances regarding fee schedule reimbursements and trends
• Research, analyze, and respond to inquiries regarding compliance, payor policies and guidelines, inappropriate coding, denials, and billable services
• Monitor and distribute communications regarding payor policy changes and updates, in relation to our provider specialties
• Provide training, guidance and oversight to staff less experienced in coding guidelines
• Serve as an information resource and guide to clinicians, champion the need to change coding behaviors and serve as subject matter expert
• Train, instruct, and provide support to medical providers and practice billing specialists as appropriate regarding coding compliance, documentation, and regulatory provisions, and third-party payor requirements
• Review, develop, modify, and adapt relevant client procedures, protocols, and data management systems to ensure compliance with organization’s policies
• Interact with providers and management to review and/or implement codes and to update charge documents
• Illustrate excellent knowledge of healthcare industry regarding the revenue cycle, coding, claims, and state insurance laws
• Ensure strict confidentiality of financial and medical records
• Perform miscellaneous job-related duties as assigned

Qualifications

• Certified Professional Coder (CPC) certification required
• Minimum of 5 years’ experience as a biller, collector, coder, or back office support staff, or other equivalent medical industry experience
• OB/GYN experience preferred, but not required
• Associates degree from an accredited university preferred
• Knowledge of auditing concepts and principles
• Advanced knowledge of medical coding and billing systems and regulatory requirements
• Ability to use independent judgment and to manage and impart confidential information
• Ability to analyze and solve problems
• Strong communication and interpersonal skills
• Knowledge of legal, regulatory, and policy compliance issues related to medical coding and billing procedures and documentation
• Knowledge of current and developing issues and trends in medical coding procedures requirements

We’re here for you—both personally and professionally.

Our benefits are designed to support you and your family at every stage of life. From health and wellness to financial security and career growth, we offer a comprehensive package to help you thrive.

Here’s a look at what we offer:

Health Coverage

Medical, dental, and vision plans, fertility benefits, and supplemental insurance options.

Paid Time Off

Vacation, personal days, and paid holidays to help you recharge.

Financial & Retirement Planning

401(k) with employer contribution, plus Flexible Spending Accounts (FSAs) and Health Savings Accounts (HSAs).

Income Protection

Short- and long-term disability, paid parental leave, basic life insurance, and optional additional coverage.

Wellbeing Support

Employee Assistance Program, commuter benefits, pet insurance, and identity theft protection.

Professional Development

Opportunities and resources to support your career growth.