Coding Analyst and Educator

Position:
Coding Analyst and Educator

As a Coding Analyst and Educator, you will play a key role in improving coding accuracy and clean claims processing by:

• Identifying trends in coding errors, supporting root cause analysis, and collaborating with coding and training staff to drive improvements.
• Staying up-to-date on regulations and guidelines to ensure accurate use of CPT codes and documentation.
• Demonstrating expertise in coding systems and medical record documentation requirements, with the ability to interpret clinical documentation for accuracy.

• Serve as a key point of contact for clinicians (Physicians and Advanced Practice Providers) regarding documentation and coding issues.
• Engage with clinicians one‑on‑one to identify opportunities for documentation improvement and collaborate with clinical and coding education teams to provide targeted training.
• Research and interpret coding guidelines and internal business rules to resolve coding inquiries and issues.
• Advise staff on quality improvement opportunities and help correct errors related to coding practices.
• Verify accurate code usage by consulting official coding resources, policies, and manuals, and work with payors to educate them on specific coding rules.

• Conduct Quality Assurance reviews of post‑visit documentation and report quality concerns and coding errors to leadership.
• Identify potential missed coding opportunities within encounters.
• Address non‑billable services at the provider level and ensure timely correction of documentation deficiencies, such as missing chief complaints or time for audio‑only visits.
• Serve as a liaison between teams to ensure timely updates on documentation requirements and process changes.
• Collaborate with compliance and coding education specialists to create effective educational resources.

• Lead special projects and initiatives within the division/market as requested by leadership.
• Perform chart reviews to identify educational opportunities and conduct individual chart research when needed.
• Participate in payor calls and chart reviews, compiling findings and assisting with follow‑up research.
• Engage in payor meetings to ensure accurate data submission and maintain relationships with payor representatives.

• Minimum of 5 years of coding experience in a multi‑specialty healthcare setting.
• Certified Professional Coder (CPC) certification for at least 5 years.
• Advanced coding certifications preferred.
• Experience in training and educating providers, coders, and staff.
• Knowledge of Eclinical Works preferred.

• Full‑time position.
• Remote work opportunity available.
• Video chat required for meetings and collaboration.
• Excellent verbal and written communication skills are essential.