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Medical Coding Analyst
2 months ago
Water's Edge Dermatology is a leading provider of comprehensive skin care services, specializing in medical, surgical, and cosmetic dermatology. Our mission is to deliver exceptional patient care through a network of experienced professionals and state-of-the-art facilities. We are committed to providing the highest quality outcomes for our patients, addressing a wide range of dermatological needs.
The Medical Coding Analyst plays a crucial role in ensuring compliance with coding and billing regulations through continuous audits and education for healthcare providers and staff. Utilizing a blend of regulatory knowledge, coding expertise, and billing acumen, the Analyst will conduct thorough reviews of medical records to verify that documentation supports the services billed, adhering to professional coding standards.
This position will collaborate with the Health Information Management (HIM) team to enhance the quality of documentation necessary for accurate billing. The primary responsibility of the Medical Coding Analyst is to provide essential coding support to healthcare providers, along with ongoing training and education to clinical staff and other relevant personnel to promote best practices in documentation and coding compliance.
KEY RESPONSIBILITIES
- Conducts pre- and post-payment audits to verify accurate claim submissions and identify denials.
- Performs audits of documentation as requested by external entities and assists in the collection and submission of records for appeals.
- Reviews medical record documentation to ensure all services rendered are accurately reported using appropriate CPT and ICD-10 codes, identifying any coding discrepancies.
- Acts as a coding resource for healthcare providers, researching and resolving complex coding and documentation issues.
- Communicates with providers to enhance the accuracy, completeness, and compliance of medical record documentation.
- Identifies trends and potential issues in medical documentation and audit findings, communicating these to HIM for further guidance.
- Supports HIM in effectively addressing and resolving all coding and documentation challenges.
- Collaborates with all Revenue Cycle Management departments to achieve established goals and objectives.
- Participates in educational initiatives to maintain current credentials and enhance professional knowledge and skills.
- Attends departmental meetings and is available to assist other departments as needed.
- Maintains strict confidentiality in accordance with HIPAA regulations.
- Competitive salary with comprehensive benefits package.
- Medical, Dental, and Vision insurance available after a specified period.
- Short-term disability and life insurance options.
- 401k plan available after a designated period.
- Opportunities for professional growth and advancement.
- Full-Time position.
- Standard working hours from Monday to Friday.
- Typical hours from 8 am to 5 pm.
No travel is required for this position.
QUALIFICATIONSEducation: Candidates must possess a current certification (CPC from AAPC or CCS from AHIMA) or be enrolled in a program with the intention of obtaining certification within a specified timeframe.
Experience: A solid understanding of coding guidelines, current CPT, ICD-10, and HCPCS coding, as well as reimbursement methodologies and regulatory requirements for provider coding. Proficiency in analyzing statistical data is essential.
Communication Skills: Strong oral and written communication abilities are required.
Work Style: Candidates should be capable of working independently and efficiently while also seeking assistance when necessary. Strong organizational, analytical, and time management skills are essential for success in this role.
