Simple Visit Coding Analyst

Description Medical Coding

Support accurate outpatient coding, billing, reimbursement,
and regulatory compliance through the review and coding of Epic Simple Visit
Coding encounters. As the Epic Simple Visit Coding Analyst 2, you will review charges
from their origin, clinical documentation, ICD-10-CM, CPT/HCPCS codes to
support accurate charge capture and medical necessity documentation, help
resolve routine coding and documentation inconsistencies. This role works
closely with physicians, clinical departments, and the revenue cycle team to
promote coding accuracy, data integrity, and compliant reimbursement practices.

In this role, you will:

• Review Epic Simple Visit Coding outpatient encounters and supporting clinical
  documentation and assign appropriate ICD-10-CM, 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, follow established query procedures,
  participate in coding audits and quality reviews, and 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 and
  support coding accuracy and reimbursement.

• Maintain current knowledge of coding regulations, reimbursement requirements,
  and payer policies while participating in continuing education, departmental
  training, and Epic coding workflow testing and validation activities.

Salary Range:

$42.46 to $56.02 hourly

Qualifications Required

• 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.

• CHDA (Certified Health Data Analyst) certification.

• RHIA (Registered Health Information Administrator) or RHIT (Registered Health
  Information Technician) certification.