Coding Compliance and Education Analyst
Listed on 2026-07-31
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Healthcare
Medical Billing and Coding
Job Summary
Responsible for reviewing medical records to ensure accuracy, completeness, and compliance of diagnostic and procedural coding, and documentation standards. Provides expertise in applying federal and state coding guidelines to support appropriate reimbursement and clinical severity capture. Develops audit findings, communicates results, and delivers targeted education to coding, clinical documentation, and revenue cycle teams. Coordinates with leadership to recommend process improvements, mitigate compliance risks, and enhance coding accuracy across the enterprise.
EssentialFunctions
- Conducts reviews of inpatient and outpatient coding reports to validate accurate diagnostic and procedural coding and documentation support, informing early detection of potential compliance or quality issues.
- Identifies discrepancies or errors in coding and documentation while identifying underlying root causes and communicating results to coding staff.
- Provides education and feedback to coding staff, CDI specialists, and other stakeholders based on audit findings.
- Supports training initiatives for new coders and ongoing education for existing staff on coding guidelines and updates.
- Collaborates with coding managers, CDI leaders, and revenue integrity teams to strengthen coding processes and compliance.
- Stays current with coding rules, trends, and industry changes to guide staff education and audit practices.
- Assists in developing reference materials such as coding handbooks and educational modules.
- Performs other duties as assigned.
Education Requirement: Bachelor’s degree.
Experience Requirement: 2+ years of experience. An equivalent combination of education and experience may be considered. All experience must be paid and in the same related field. Part‑time and PRN experience will be prorated based on hours worked per week. Volunteer work and internships for academic credit are not counted.
Certifications & Licensures- RHIA Certification
- CPMA
- CCDS
- Certified Coding Specialist (CCS) or Certified Professional Coder (CPC) preferred
- A. Lifting, pushing, and/or pulling objects up to 50lbs: 2. Occasional (50% of the time)
- H. Working at heights above 4 feet:
1. Never - I. Working in confined spaces:
1. Never - J. Risk of injuries from use of equipment on the job: 1. Never
- K. Job‑related travel:
2. Occasional (
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