Physician Coding Analyst (Coding)

Orlando Health; Orlando (FL); Remote; USD 60,000 - 100,000; Full time

Job summary

An established industry player is seeking a skilled professional coder to join their dynamic team. This role involves ensuring accurate coding and billing for physician services, collaborating with various teams to enhance coding practices, and mentoring new members. The ideal candidate will have extensive experience in multi-specialty coding and a recognized certification. Join a forward-thinking organization that values accuracy, professionalism, and continuous improvement in healthcare billing practices.

Qualifications

• 6+ years of professional coding experience in various specialties.
• Proficiency in coding guidelines and Microsoft Office.

Responsibilities

• Collaborate with auditors and coders to analyze coding accuracy.
• Perform coding by reviewing medical records for accurate assignments.

Skills

Professional Coding

Medical Record Review

Coding Guidelines Knowledge

Mentoring

Communication Skills

Education

Associate Degree or Equivalent Work Experience

Tools

Microsoft Office

Job description

Accurately and efficiently access a wide range of specialty physician billing and Health Information Systems to secure and gather all necessary records for accurate coding and billing of professional physician and/or physician extender (mid-level) services.

Candidates are eligible to work remotely from the following states: FL, GA, AZ, TX, AL, and NC.

Responsibilities

1. Collaborate with internal auditors, educators, and the denials team to analyze professional coding for assigned service lines and divisional coders, supporting educational needs and growth.
2. Perform active production coding by reviewing medical records to ensure accurate code assignment.
3. Provide guidance and support to Coders I, II, and Sr for questions or cases.
4. Identify and resolve complex trending coding issues affecting the physician revenue cycle; provide feedback to correct claims and recover underpaid amounts.
5. Analyze trending of work queue volumes and prioritize tasks accordingly.
6. Report issues or trends within documentation or EMR to management for evaluation and follow-up.
7. Collaborate with management to ensure proper follow-up of patient accounts and coding accuracy for reimbursement.
8. Maintain professionalism and a high level of demeanor in all interactions.
9. Provide occasional reporting on internal coding enhancements and serve as a subject-matter expert on coding practices and upcoming updates.
10. Attend meetings as required and assist in resolving coding disputes with payors.
11. Utilize resources from CMS, AMA, AHA to support coding practices.
12. Mentor new team members and provide training when necessary.
13. Maintain patient confidentiality and adhere to ethical coding standards and policies.
14. Support practice managers with coding questions and monitor documentation and delinquent accounts.
15. Serve as a clinical documentation and coding best practices resource.
16. Participate in program development, execution, and performance improvement initiatives.
17. Perform other duties as assigned, ensuring compliance with all applicable policies and standards.

Qualifications

1. Education/Training: Associate degree or equivalent work experience; proficiency in Microsoft Office, especially Word and Outlook; knowledge of coding guidelines.
2. Licensure/Certification: Hold at least one recognized coding certification (CPC, CCS, CCS-P, CCA, CMC).
3. Experience: Minimum 6+ years of professional/physician coding, including office, inpatient, bedside, surgical, and multi-specialty coding; trauma experience preferred; previous senior coding role preferred.