Senior Documentation and Coding Analyst

Job Summary

We are seeking a Senior Documentation & Coding Analyst to join our team! This role will develop and implement the education program aimed at enhancing documentation and coding practices across the organization. The Senior Analyst will promote documentation accuracy by auditing and creating/updating training tools for providers, clinical staff, coders/billing specialists, and documentation & coding analysts. This position acts as a liaison between the providers, clinical staff and coders, provides updated and new material as it arises, and helps answer documentation and coding questions.

Candidates who hold a certification in coding and have at least 6 years of experience in coding are highly encouraged to apply!

Clinical Documentation Review and Reporting

Assess clinical documentation for compliance in accordance with the American Medical Association and the Centers for Medicare and Medicaid Services Coding and Documentation guidelines, regulations of federal and state agencies, and third party payers.

Validate clinical documentation in conjunction with charges and evaluate accuracy and timeliness of the billing process

Investigate, evaluate and identify opportunities for improvement and provide guidance and counsel to providers with face-to-face meetings

Identify and audit areas requiring attention, performing special audits/investigations as requested, share this information with leadership and provide one-on-one education with the provider and in a timely manner

Collect and analyze data, submit reports as assigned and monitor monthly audits to ensure that they are completed timely

Report/record all documentation and coding issues that require follow-up reviews to coding manager

Work the EPIC follow-up and account work queues to keep queues in a manageable state; inform leadership of workflow issues with suggestions for improvement

Be aware of what is happening in clinic/department and the organization by attending clinic/department meetings, reading e-mails/in-basket messages and regularly checking information on the organization’s intranet site

Monitor environmental conditions in order to secure protected health information

Demonstrate initiative to improve quality and customer service by striving to exceed customer expectations

Balance team and individual responsibilities; be open and objective to other’s views; give and welcome feedback; contribute to positive team goals; and put the success of the team above own interests

Perform other duties at the request of various departmental leadership groups to facilitate the smooth and effective operations of the organization

Clinical Coding Research and Education

Participate in development and implementation of Office of Inspector General Work Plan

Research coding inquires and be a resource for providers, clinical, billing and coding staff

Monitor payment status of services with specific coding requirements as needed

Maintain compliance with CLIA, OSHA, Safety and Risk Management guidelines

Investigate, evaluate and identify opportunities for improvement and provide guidance and counsel to coding/billing staff by setting up small group meetings or training sessions

Provide regular education to providers, clinical, billing and coding staff regarding coding documentation standards

Create, update and revise the coding department’s newsletters, education, reference documents

Lead initiatives with coding team participation, partnering with other departments to capitalize on our FOCUS values

Qualifications

Education: Required:

High school diploma or equivalent

Preferred: AAS Degree in Health Information Management

Experience:

Required: Six (6) years of coding experience

Required: Proficient in resource tools for reporting and tracking audits and maintaining the system

Required: Proficient in organization’s electronic coding system

Licenses

Required: Coding certification through AHIMA:Registered Health Information Administrator (RHIT), Registered Health Information Technician (RHIA), Certified Coding Specialists (CCS), or AAPC Certified Professional Coder (CPC)

Required: Hold a minimum of one (1) coding certification plus be a department resource for a minimum of one specialty

Valid driver’s license when driving any vehicle for work-related reasons

This role is ideal for motivated professionals eager to leverage their expertise in healthcare documentation and coding to drive operational excellence while supporting high-quality patient care outcomes. Join us in a position that challenges your skills while offering opportunities for professional growth in a collaborative environment!

Pay: $80,073.28 - $90,916.20 per year

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Employee discount
• Flexible spending account
• Health insurance
• Health savings account
• Life insurance
• Paid time off
• Parental leave
• Professional development assistance
• Referral program
• Retirement plan
• Tuition reimbursement
• Vision insurance

Work Location: In person