Ambulatory Coding Analyst
Required skills
- compliance
- CPT codes
- auditing software
- progress note
- billing compliance
- CCS
- CPC
- RHIT
Nice to have
- annual work plan
Role summary
Franciscan Health is seeking a detail-oriented Ambulatory Coding Analyst to ensure accuracy in coding, documentation, and compliance with federal and state requirements. This hybrid role involves reviewing medical records, assessing CPT code compliance, and auditing provider documentation. The analyst will also provide orientation and education on coding and billing compliance issues to physicians and healthcare providers. Requires a High School Diploma/GED, 3 years of coding experience, and a CCS, CPC, or RHIT certification. Travel up to 50% is required.
Medical record documentation has become an industry all of its own. An industry that has strict coding requirements and compliance standards. Our Ambulatory Coding Analyst must be current on all federal and state requirements and procedures. Our physicians and healthcare providers depend on it.
WHO WE ARE
With 11 ministries and access points across Indiana, Franciscan Health is one of the largest Catholic health care systems in the Midwest. Franciscan Health takes pride in hiring coworkers that provide compassionate, comprehensive care for our patients and the communities we serve.
WHAT YOU CAN EXPECT
- Hybrid Position – Part-time onsite and part-time remote work
- Approximately 40% Travel
- A detail-oriented and highly organized work environment where accuracy in coding tasks, documentation, and compliance is essential.
- Assist the department director and lead analyst in the development of an annual work plan for the review of each provider assigned to them.
- Select a provider from the established work plan and use software, to compare the average of CPT codes utilized by the provider as compared to their peers.
- Obtain and review the respective progress note for the provider they are reviewing for each date of service involved in the review.
- Use auditing software to assess each progress note for key components, CPT compliance, and level of service.
- Review pertinent records, compile the applicable regulations, summarize the review and findings, and create a report using the established template.
- Review findings from audits with each provider.
- Audit physicians whose report indicated billing activity falls significantly below the benchmark.
- Provide orientation on coding and other billing compliance issues, and answer pertinent questions from the provider.
QUALIFICATIONS
- High School Diploma/GED - Required
- Bachelor's Degree - Preferred
- 3 years Coding Experience - Required
- CCS (Certified Coding Specialist) - Required -or-
- CPC (Certified Professional Coder) -- Required -or-
- RHIT (Registered Health Information Technician) - Required
TRAVEL IS REQUIRED:
Up to 50%JOB RANGE:INCENTIVE:EQUAL OPPORTUNITY EMPLOYER
It is the policy of Franciscan Alliance to provide equal employment to its employees and qualified applicants for employment as otherwise required by an applicable local, state or Federal law.
Franciscan Alliance reserves a Right of Conscience objection in the event local, state or Federal ordinances that violate its values and the free exercise of its religious rights.
Franciscan Alliance is committed to equal employment opportunity.
Franciscan provides eligible employees with comprehensive benefit offerings. Find an overview on the benefit section of our career site, jobs.franciscanhealth.org.
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