Coding Analyst, HB Coding
Core
ICD-10-CM diagnosis and HCPC Level I/II procedural coding expert ensuring accurate reimbursement for outpatient visits and physician encounters.
Role type
Healthcare Coding Analyst
Builds
Accurate medical claims and reimbursement data for outpatient services
Domain
Healthcare / Medical Billing & Coding
Deliverable
production ML models | product features | dashboards & analysis | research | client delivery | infrastructure | physical/clinical work
Required skills
ICD-10-CM coding, CPT-4 coding, HCPC Level I/II coding, NCD/LCD interpretation, NCCI edits resolution, medical terminology, anatomy and physiology knowledge, clinical disease process understanding, pharmacology knowledge, medical record review, coding guidelines compliance
Preferred skills
RHIA/RHIT certification, CCS/CCS-P/COC/CPC certification, 4+ years acute healthcare experience, 4+ years professional setting experience
Technologies
ICD-10-CM, CPT-4, HCPC, NCCI, NCD, LCD
Responsibilities
Assign ICD-10-CM and CPT-4 codes to outpatient visits, assign Evaluation and Management codes for physician encounters, review medical records to code diagnoses and procedures, collaborate with Patient Accounting and clinical areas, interpret health record documentation using medical knowledge, resolve NCCI/NCD/LCD claim failures, meet coding productivity and quality standards
Seniority
Mid-level, hands-on IC