CODING ANALYST

System Support; Moraine (OH); On-site; USD 65,000 - 85,000; Full time

Job summary

Premier Physician Network (PPN) seeks a Coding Analyst to audit and improve medical coding and provider documentation quality across Premier HealthNet, Premier Health Specialists and Upper Valley Professional Corp.

The role trains physicians and staff on coding/compliance, conducts chart audits, and serves as an on-call resource. Collaboration with the CDI & Coding Quality Manager is essential to address documentation issues and practice patterns.

Qualifications

• Two years of physician office coding experience.
• Strong knowledge of professional billing and coding principles.
• Experience with Epic EMR preferred.

Responsibilities

• Audit coding and provider documentation quality for Premier Physician Network.
• Train physicians and staff on coding and documentation compliance.
• Serve as on-call resource for coding and documentation issues and follow up with audits.
• Consult with CDI & Coding Quality Manager regarding documentation issues and practice patterns.

Skills

Presentation skills

Communication skills

Organizational skills

Customer service

ICD-10-CM

CPT coding

HCPCS coding

Financial analysis

Costing

Regulatory knowledge

Insurance billing

Third-party payer knowledge

Outcomes measurement

Medical information management

Microsoft 365

Epic EMR

Education

CPC, CCS-P, RHIA, RHIT, or CCA certifications

Tools

Epic EMR

Job 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

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