Remote-Eligible Compliance & Coding Analyst

Riverside Health; Newport News (VA); Hybrid; USD 57,100 - 78,550; Full time

Job summary

Riverside Health in Newport News, Virginia is seeking an experienced coding specialist to perform clinical chart reviews and coding audits to improve accuracy and compliance with payor rules. Responsibilities include conducting medical record audits, analyzing coding trends, and educating medical staff.

Candidates must have a High School Diploma or GED, along with certifications like CPC or COC, and 3-4 years of experience in coding or billing. This position is crucial to ensure adherence to coding guidelines and improves overall data accuracy.

Qualifications

• 3-4 years of experience in Commercial and Government Billing/Coding/Collections.
• 1 year of experience in Medical Record Reviews.
• Certification such as CPC, COC, or CPMA is required.

Responsibilities

• Conduct Medical Record audits based on coding guidelines.
• Complete Third Party Payor reviews timely with required documentation.
• Analyze and manage coding work queues and trends.
• Identify training and documentation improvement opportunities.
• Assist with new team member orientation and education topics.
• Coordinate with internal departments to resolve coding queries.

Skills

Clinical coding expertise

Attention to detail

Compliance knowledge

Analysis skills

Education

High School Diploma or GED

Tools

Coding guidelines

Billing software

Job description

Riverside Health in Newport News, Virginia is seeking an experienced coding specialist to perform clinical chart reviews and coding audits to improve accuracy and compliance with payor rules. Responsibilities include conducting medical record audits, analyzing coding trends, and educating medical staff.

Candidates must have a High School Diploma or GED, along with certifications like CPC or COC, and 3-4 years of experience in coding or billing. This position is crucial to ensure adherence to coding guidelines and improves overall data accuracy.