Simple Visit Coding Analyst

UCLA Outpatient Clinics; Los Angeles, Northern (CA, KY); Hybrid; USD 58,000 - 77,000; Full time

Job summary

UCLA Outpatient Clinics in Los Angeles is seeking an Epic Simple Visit Coding Analyst 2 to review charges from origin, assign ICD-10-CM, CPT/HCPCS codes, and ensure accurate charge capture and medical necessity documentation.

You will work with physicians, clinical departments, and the revenue cycle team to promote coding accuracy, data integrity, and compliant reimbursement practices while staying current with coding regulations.

Qualifications

• Ability to assign ICD-10-CM, CPT/HCPCS codes per guidelines.
• Understand payer policies and medical necessity requirements.
• Identify documentation gaps and query when needed.

Responsibilities

• Review Epic Simple Visit Coding encounters and code data.
• Ensure codes reflect services rendered for compliant billing.
• Apply medical necessity requirements during code assignment.
• Identify deficiencies and assist with audits and edits.
• Communicate with physicians and revenue cycle teams to resolve questions.
• Stay updated on coding regs and participate in training.

Skills

ICD-10-CM coding

CPT/HCPCS coding

Epic

Tools

Epic

Job description

Description

Medical Coding

Support accurate outpatient coding, billing, reimbursement, and regulatory compliance through the review and coding of Epic Simple Visit Coding encounters. As the Epic Simple Visit Coding Analyst 2, you will review charges from their origin, clinical documentation, ICD-10-CM, CPT/HCPCS codes to support accurate charge capture and medical necessity documentation, help resolve routine coding and documentation inconsistencies. This role works closely with physicians, clinical departments, and the revenue cycle team to promote coding accuracy, data integrity, and compliant reimbursement practices.

In this role, you will:

• Review Epic Simple Visit Coding outpatient encounters and supporting clinical documentation and assign appropriate ICD-10-CM, CPT/HCPCS codes in accordance with established coding guidelines and payer requirements.
• Ensure coded data accurately reflects services rendered and supports compliant billing practices.
• Apply medical necessity requirements, LCDs, NCDs, payer policies, & other established coding requirements during code assignment.
• Identify documentation deficiencies, follow established query procedures, participate in coding audits and quality reviews, and assist with routine coding edits and claim-related coding issues.
• Communicate with physicians, clinical staff, operational departments, and revenue cycle teams to resolve routine documentation and coding questions and support coding accuracy and reimbursement.
• Maintain current knowledge of coding regulations, reimbursement requirements, and payer policies while participating in continuing education, departmental training, and Epic coding workflow testing and validation activities.

Salary Range:

$42.46 to $56.02 hourly