Visit Coding Analyst

• Review Epic Simple Visit Coding outpatient encounters and supporting clinical documentation
• Assign appropriate ICD-10-CM and CPT/HCPCS codes in accordance with established coding guidelines and payer requirements
• Ensure coded data accurately reflects services rendered and supports compliant billing practices
• Apply medical necessity requirements, LCDs, NCDs, payer policies, and other established coding requirements during code assignment
• Identify documentation deficiencies and follow established query procedures
• Participate in coding audits and quality reviews
• Assist with routine coding edits and claim-related coding issues
• Communicate with physicians, clinical staff, operational departments, and revenue cycle teams to resolve routine documentation and coding questions
• Maintain current knowledge of coding regulations, reimbursement requirements, and payer policies
• Participate in continuing education, departmental training, and Epic coding workflow testing and validation activities

• Bachelor’s degree in Health Information Management, Healthcare Administration, Finance, Business Administration, or a related field, or an equivalent combination of education and experience
• One or more years of experience in hospital coding, revenue cycle operations, coding analytics, charge capture, or a closely related healthcare revenue cycle function
• CCS (Certified Coding Specialist) certification within six months of hire
• Knowledge of ICD-10-CM, CPT/HCPCS coding systems
• Knowledge of anatomy, physiology, disease processes, and medical terminology
• Knowledge of outpatient hospital coding guidelines and reimbursement principles
• Knowledge of LCDs, NCDs, and payer policies
• Ability to accurately review and abstract information from medical records and identify documentation deficiencies and coding discrepancies
• Strong attention to detail and organizational skills with the ability to maintain coding quality and productivity standards
• Effective verbal and written communication skills
• Proficiency with Epic or similar electronic health record systems
• Preferred: CPC (Certified Professional Coder) certification
• Preferred: CHDA (Certified Health Data Analyst) certification
• Preferred: RHIA (Registered Health Information Administrator) or RHIT (Registered Health Information Technician) certification
• Final candidate accepting an offer must disclose certain final administrative or judicial misconduct decisions or appeals within the last seven years
• Current/former UC employees are subject to a personnel file review

Demonstrates expertise in ICD-10-CM and CPT/HCPCS coding, ensuring compliance with established guidelines and payer requirements. Proficient in reviewing clinical documentation and maintaining coding quality while effectively communicating with healthcare teams.

• ICD-10-CM Coding
• CPT/HCPCS Coding
• Certified Coding Specialist (CCS)
• Epic Electronic Health Record
• Outpatient Hospital Coding Guidelines

• Medical Necessity Requirements
• Coding Audits
• Documentation Review
• Coding Analytics
• Charge Capture
• Reimbursement Principles
• Anatomy Knowledge
• Physiology Knowledge
• Disease Processes Knowledge
• Medical Terminology Knowledge

• Attention to Detail
• Organizational Skills
• Effective Communication

• Certified Coding Specialist (CCS)
• Certified Professional Coder (CPC)
• Certified Health Data Analyst (CHDA)
• Registered Health Information Administrator (RHIA)
• Registered Health Information Technician (RHIT)

• Healthcare Revenue Cycle
• Payer Policies
• LCDs
• NCDs
• Coding Guidelines

• Epic