Monitor and analyze KPIs to identify trends and transform data into actionable reports and presentations that support strategic decision-making.
Collaborate with leadership and cross-functional teams to identify improvement opportunities and advance documentation practices.
Provide operational and technical guidance to staff and stakeholders, ensuring clarity and consistency in documentation and coding processes.
Demonstrate compliance with regulatory requirements, including CMS, QIOs, NCCI edits, and payer-specific guidelines.
Engage in continuous learning, staying current with evolving coding guidelines, practices, and terminology through training and professional development.
Promote a collaborative, service-oriented culture, modeling professionalism and teamwork across Clinician Services and organizational stakeholders.
Requirements
Registered Health Information Administrator (RHIA) or Registered Health Information Technician (RHIT) certification, or Coding Specialist (CCS) certification, or Coding Specialist – Physician (CCS-P) certification issued by AHIMA or Professional Coder (CPC) certification issued by AAPC.
Completion of advanced training through a recognized or accredited program, equivalent in scope and rigor to post-secondary education or equivalent knowledge.
5 years of experience in expert-level professional and/or facility coding
Advanced level of ICD-10-CM/PCS and/or ICD-10-CM/CPT/HCPCS for a large complex health care system or medical group.
Extensive knowledge of third-party reimbursement programs, state and federal regulatory issues, national and local coverage determinants, research-related restrictions, ICD-10 CM/PCS, and CPT/HCPCS coding classifications.
Proficiency in statistical analysis.
Demonstrated proficiency in the Microsoft Office Suite (Word, Excel, PowerPoint, Teams, etc.) or similar products and in patient accounting and billing systems.
Benefits
Paid Time Off programs
Health and welfare benefits such as medical, dental, vision, life, and Short
and Long-Term Disability
Flexible Spending Accounts for eligible health care and dependent care expenses
Family benefits such as adoption assistance and paid parental leave
Defined contribution retirement plans with employer match and other financial wellness programs
Educational Assistance Program
Competitive compensation
Opportunity for annual increases based on performance