We are seeking a highly skilled Certified Medical Coder Analyst to join our healthcare team. In this role, you will be responsible for accurately coding medical records, analyzing coding data, and ensuring compliance with billing and reimbursement standards. Your expertise will support efficient revenue cycle management and improve the accuracy of medical documentation. The ideal candidate will possess a thorough understanding of medical coding principles, including DRG (Diagnosis-Related Group), CPT (Current Procedural Terminology) coding, and ICD (International Classification of Diseases) coding systems, along with strong analytical skills to interpret complex medical data.
Pay: $60,000.00 - $80,000.00 per year
Job Type: Full-Time
Hours: 9:00 AM – 5:00 PM
Experience: 3+ Years Required
Position Overview Coding Analysis & Productivity Documentation Review: They analyze provider documentation to assign accurate diagnoses, procedures, modifiers, and dates/places of service following strict guidelines.
Outpatient Coding: They code and validate outpatient service areas, including E&M and modifiers, maintaining a productivity level of 90–100 charts per day .
Inpatient & Surgical: They code Inpatient, ASU, and Surgical charts, editing or validating physician procedures with a productivity target of 65 charts per day .
Work-Queue Management: They monitor assigned work-queues to ensure all CPT and HCPCS charge codes align accurately with physician documentation.
Compliance & Strategic Support Clinical Liaison: They assist physicians in assigning CPT codes that accurately represent the treatment provided and work collaboratively with all employment levels.
Regulation Mastery: They maintain full knowledge of National Correct Coding Initiative (NCCI) to resolve edits for Part B physician billing.
Policy Expertise: They stay current on all physician billing/coding guidelines, including Initial vs. Subsequent, Split Share, and Telemedicine Grids per insurance carrier.
Confidentiality: They strictly maintain the confidentiality of patient information in accordance with hospital and HIPAA policies.
Qualifications Education & Experience Experience: A minimum of three (3) years of professional medical coding experience (Required).
Education: High School Diploma or GED (Required); College degree (Preferred).
Billing Knowledge: Specific experience in Physician Billing is essential.
Required Licenses/Certifications CPC (Certified Professional Coder)
CCS (Certified Coding Specialist)
Skills & Knowledge Technical Mastery: Full proficiency in CPT and ICD-10-CM coding systems and billing guidelines.
Software: Strong computer proficiency in MS Office (specifically Word and Excel) and knowledge of healthcare operating systems.
Communication: Excellent written and verbal communication skills.
Operational Ability: Ability to multitask and perform standardized procedures with the capacity for independent decision-making.
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