Coding Analyst Sr.
Core
Reviewing, auditing, and coding medical records for reimbursement, training, education, and compliance.
Role type
Senior Certified Medical Coder
Builds
Accurate medical claims and coding documentation for healthcare reimbursement
Domain
Healthcare / Medical Billing
Deliverable
production ML models | product features | dashboards & analysis | research | client delivery | infrastructure | physical/clinical work
Required skills
ICD-9 coding, CPT coding, medical documentation review, physician queries, annual code accuracy review, training and education delivery
Preferred skills
CMS Risk Adjustment Model knowledge, AAPC Certified Risk Adjustment Coder (CRC) certification, medical terminology, anatomy
Technologies
ICD-9, CPT, CMS Risk Adjustment Model
Responsibilities
Audits and reviews medical documentation for appropriate ICD-9 and CPT coding; Queries physicians when code assignments are not straightforward or documentation is unclear; Trains and educates others on coding documentation, claim payment guidelines, and related issues; Reviews CPT and ICD-9 codes annually for accuracy and implements changes; Assists physicians and providers with questions and problems related to coding, documentation and billing; Serves as a resource to Coding Analysts.