Sr. Medical Coding Analyst

Job description

Working with the Director of Coding to understand coding charge capture flow and process. Ensures charges are being transmitted to the coding work queue to be reviewed and coded. Analyze and report to physicians all outstanding documentation/reports and any deficiency that requires additional information and/or addendums in order to properly status and submit billing accordingly. Ensures procedural dictations are appropriately documented and timely in various TUHS application systems, including but not limited to EPIC, Provation and/or Cupid. Adhere and follow all coding guidelines. Communicates guidelines to the physicians and leadership. Analyzes coding trends on a routine basis and provide leadership with a long-range plan for training and process improvement. Ensures that all internal charge capture processes and controls are well documented and in place in order to maintain accountability. Maintain a database for reconciliation (the tracking and trending of coding reports and results) that can report on multiple factors and qualifiers. Work with TUHS Compliance on a routine basis and provide feedback on areas of educational opportunity.
Education
Associate's Degree Required or
Combination of relevant education and experience may be considered in lieu of degree Required
Experience
3 years experience working in a physician/multi-specialist medical practice and procedural coding Required
General Experience and demonstrated knowledge of third-party reimbursement policies and procedures related to professional fee services Required
General Experience and demonstrated knowledge of Professional Fee Coding, Billing, and Collection Activity Required
Licenses
Certified Coding Specialist Required or
Certified Professional Coder Required or
Reg Health Information Admin Required