Coding Patient Billing Analyst II

Key Responsibilities

• Assign accurate CPT, HCPCS, and ICD-10-CM codes for:
• Office and outpatient E/M services
• Complex and specialty-specific procedures
• Surgical procedures from operative reports
• Review and interpret operative notes to determine correct coding, including:
• Procedure selection
• Modifier assignment (e.g., 22, 25, 50, 51, 59, etc.)
• Ensure compliance with NCCI edits, payer policies, and CMS guidelines, and organizational coding policies
• Identify opportunities for coding optimization while maintaining compliance
• Assist with charge capture, coding audits, denials, and appeals
• Maintain a 95% or higher accuracy rating and demonstrate a consistent level of performance, keeping up with industry standards of charts per hr. per area of specialty
• Stay current with coding updates and regulatory changes
• Provide feedback and education to providers on documentation improvement
• Other tasks and responsibilities as assigned