Visit Coding Analyst

This is a fully remote position, open to applicants in California.

📋 Description

• Review outpatient encounters and associated clinical documentation for Epic Simple Visit Coding.

• Assign the correct ICD-10-CM and CPT/HCPCS codes following established coding guidelines and payer requirements.

• Ensure that the coded data accurately represents the services provided and supports compliant billing practices.

• Apply medical necessity criteria, LCDs, NCDs, payer policies, and other established coding requirements during the code assignment process.

• Identify deficiencies in documentation and adhere to established query procedures.

• Engage in coding audits and quality assessments.

• Provide assistance with routine coding edits and issues related to claims.

• Collaborate with physicians, clinical staff, operational departments, and revenue cycle teams to address routine questions regarding documentation and coding.

• Stay updated on coding regulations, reimbursement requirements, and payer policies.

• Participate in continuing education, departmental training, and validation activities for Epic coding workflows.

⛳️ Requirements

• A Bachelor’s degree in Health Information Management, Healthcare Administration, Finance, Business Administration, or a related field, or an equivalent combination of education and experience.

• At least one year of experience in hospital coding, revenue cycle operations, coding analytics, charge capture, or a similar healthcare revenue cycle function.

• CCS (Certified Coding Specialist) certification must be obtained within six months of hire.

• Familiarity with ICD-10-CM and CPT/HCPCS coding systems.

• Understanding of anatomy, physiology, disease processes, and medical terminology.

• Knowledge of outpatient hospital coding guidelines and reimbursement principles.

• Awareness of LCDs, NCDs, and payer policies.

• Ability to accurately review and abstract information from medical records while identifying documentation deficiencies and coding discrepancies.

• Strong attention to detail and organizational skills, with the capacity to uphold coding quality and productivity standards.

• Effective verbal and written communication abilities.

• Proficiency with Epic or comparable 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.

• The final candidate accepting an offer must disclose any administrative or judicial misconduct decisions or appeals from the past seven years.

• Current or former UC employees are subject to a review of their personnel file.

🏝️ Benefits

• Comprehensive health and wellness benefits.

• Opportunities for professional development and continuing education.

• Competitive salary and flexible work arrangements.