Visit Coding Analyst

Jobtailor; Northern (KY); Hybrid; USD 65,000 - 80,000; Full time

Job summary

Jobtailor is seeking a skilled health information coder to review Epic outpatient visits, assign ICD-10-CM and CPT/HCPCS codes, and ensure documentation supports accurate billing. You will apply medical necessity requirements, stay current with coding guidelines, participate in audits, and collaborate with physicians and revenue cycle teams to resolve coding questions.

Applicants should hold a CCS and a bachelor’s in HIM or related field, with knowledge of LCDs, NCDs, and payer policies;

Qualifications

• Bachelor’s degree in Health Information Management, Healthcare Administration, Finance, Business Administration, or related field or equivalent experience
• 1+ years of hospital coding or related revenue cycle experience
• CCS certification within six months of hire
• Knowledge of ICD-10-CM and CPT/HCPCS coding systems
• Knowledge of anatomy, physiology, disease processes, and medical terminology
• Knowledge of outpatient hospital coding guidelines and reimbursement principles
• Knowledge of LCDs, NCDs, and payer policies
• Ability to review and abstract information from medical records and identify documentation deficiencies
• Strong attention to detail and organizational skills with coding quality and productivity
• Effective verbal and written communication skills
• Proficiency with Epic or similar EHR systems
• Preferred CPC, CHDA, RHIA/RHIT certifications
• Final candidate must disclose certain misconduct decisions/appeals in last seven years
• UC employees subject to personnel file review

Responsibilities

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

Skills

ICD-10-CM Coding

CPT/HCPCS Coding

Certified Coding Specialist (CCS)

Epic Electronic Health Record

Outpatient Hospital Coding Guidelines

Education

Bachelor’s degree in HIM/Health Information Management or related field

Tools

Epic

Job description

• Review Epic Simple Visit Coding outpatient encounters and supporting clinical documentation
• Assign appropriate ICD-10-CM and 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, and other established coding requirements during code assignment
• Identify documentation deficiencies and follow established query procedures
• Participate in coding audits and quality reviews
• 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
• Maintain current knowledge of coding regulations, reimbursement requirements, and payer policies
• Participate in continuing education, departmental training, and Epic coding workflow testing and validation activities

Requirements

• Bachelor’s degree in Health Information Management, Healthcare Administration, Finance, Business Administration, or a related field, or an equivalent combination of education and experience
• One or more years of experience in hospital coding, revenue cycle operations, coding analytics, charge capture, or a closely related healthcare revenue cycle function
• CCS (Certified Coding Specialist) certification within six months of hire
• Knowledge of ICD-10-CM, CPT/HCPCS coding systems
• Knowledge of anatomy, physiology, disease processes, and medical terminology
• Knowledge of outpatient hospital coding guidelines and reimbursement principles
• Knowledge of LCDs, NCDs, and payer policies
• Ability to accurately review and abstract information from medical records and identify documentation deficiencies and coding discrepancies
• Strong attention to detail and organizational skills with the ability to maintain coding quality and productivity standards
• Effective verbal and written communication skills
• Proficiency with Epic or similar electronic health record systems
• Preferred: CPC (Certified Professional Coder) certification
• Preferred: CHDA (Certified Health Data Analyst) certification
• Preferred: RHIA (Registered Health Information Administrator) or RHIT (Registered Health Information Technician) certification
• Final candidate accepting an offer must disclose certain final administrative or judicial misconduct decisions or appeals within the last seven years
• Current/former UC employees are subject to a personnel file review

Core Competencies

Demonstrates expertise in ICD-10-CM and CPT/HCPCS coding, ensuring compliance with established guidelines and payer requirements. Proficient in reviewing clinical documentation and maintaining coding quality while effectively communicating with healthcare teams.

Highest-signal resume keywords

• ICD-10-CM Coding
• CPT/HCPCS Coding
• Certified Coding Specialist (CCS)
• Epic Electronic Health Record
• Outpatient Hospital Coding Guidelines

ATS Optimization Keywords

Hard Skills

• Medical Necessity Requirements
• Coding Audits
• Documentation Review
• Coding Analytics
• Charge Capture
• Reimbursement Principles
• Anatomy Knowledge
• Physiology Knowledge
• Disease Processes Knowledge
• Medical Terminology Knowledge

Soft Skills

• Attention to Detail
• Organizational Skills
• Effective Communication

Certifications & Qualifications

• Certified Coding Specialist (CCS)
• Certified Professional Coder (CPC)
• Certified Health Data Analyst (CHDA)
• Registered Health Information Administrator (RHIA)
• Registered Health Information Technician (RHIT)

Industry Keywords

• Healthcare Revenue Cycle
• Payer Policies
• LCDs
• NCDs
• Coding Guidelines

Tools & Technologies

• Epic