CODING ANALYST

Premier Health; United States; On-site; USD 70,000 - 95,000; Full time

Job summary

Premier Health is seeking a Coding Analyst to audit, train, and monitor medical information and provider documentation for the Premier Physician Network. This role reports to the CDI & Coding Quality Manager.

Responsibilities include research and follow-up on coding compliance, on-call support, staff training, and chart audits. Collaboration with physicians, practice managers, and corporate and hospital teams ensures accurate coding and appropriate reimbursement.

Qualifications

• Excellent presentation, organizational and communication skills.
• Strong knowledge of ICD-10-CM, CPT and HCPCS coding.
• Experience with physician office coding.
• Proficient in Microsoft 365.
• Epic EMR experience preferred.
• Certification in CPC/CCS-P/RHIA/RHIT/CCA within 18 months.

Responsibilities

• Audit coding and documentation for compliance.
• Provide training on coding and documentation for staff.
• Serve as on-call resource for the network.
• Collaborate with CDI & Coding Quality Manager on issues.
• Interact with physicians, practice managers and staff.
• Participate in chart audits and monitoring of reimbursement.

Skills

ICD-10-CM

CPT coding

HCPCS coding

Financial analysis

Regulatory knowledge

Insurance billing

Professional billing

Microsoft 365

Epic EMR

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