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US

  • Conduct clinical documentation reviews to ensure compliance with coding guidelines and regulations.
  • Provide education and training to providers and coding staff on documentation standards.
  • Analyze data and report findings to leadership to improve coding accuracy.

Coding CPT EPIC Auditing Communication

20 jobs similar to Documentation and Coding Analyst

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United States

  • Assess clinical documentation for compliance with AMA and CMS coding guidelines.
  • Provide education and guidance to providers, clinical staff, and coders on documentation standards.
  • Analyze audit data, report findings, and collaborate with leadership to improve coding practices.

UnityPoint Health is a healthcare system providing medical services across Iowa, Illinois, and Wisconsin. It is recognized as a top workplace, committed to team member support, development, and a culture of belonging.

US

  • Assess clinical documentation for compliance with AMA and CMS coding guidelines.
  • Validate clinical documentation and evaluate accuracy and timeliness of the billing process.
  • Investigate and identify opportunities for improvement and provide education to providers and staff.

UnityPoint Health is a healthcare organization providing services across Iowa, Illinois, and Wisconsin. It is recognized as a top place to work in healthcare and fosters a culture of belonging, development, and total rewards.

US

  • Reviews inpatient and outpatient medical records for documentation, abstracting, and assigning codes to the highest level of specificity.
  • Assigns procedural and diagnosis codes following ICD-10-CM, CPT, HCPCS guidelines, and payer regulations.
  • Collaborates with Clinical Auditors to improve coding quality and resolves coding-related denials per payer policies.

UnityPoint Health is a healthcare system providing patient services and medical care. It is recognized as a Top 150 Place to Work in Healthcare, with a culture that champions belonging and offers competitive benefits.

US

  • Coordinate and optimize provider education and medical record coding across hospital and ambulatory sites.
  • Develop and implement education work plans to improve documentation quality, completeness, and accuracy.
  • Serve as a resource for coding guidelines and compliance standards including NCCI Edits, ICD-10CM, CPT, and HCC.

Henry Ford Health partners with millions on their health journey across Michigan and worldwide, offering a full continuum of services. With 13 hospitals and hundreds of ambulatory locations, it is one of the nation's most respected academic medical centers, fostering a culture of continuous learning and innovation.

$64,500–$108,617/yr
US

  • Audit medical records to ensure documentation supports level of service and compliance with coverage determinations.
  • Develop and implement educational programs for coding and documentation improvement.
  • Orient and audit newly on-boarded providers and programs.

Southcoast Health is a not-for-profit health system providing comprehensive healthcare across Southeastern Massachusetts and Rhode Island. With multiple facilities, they have been voted 'Best Place to Work' for 7 years in a row.

US

  • Review provider documentation in Epic to assign accurate CPT, ICD-10-CM, and HCPCS codes.
  • Ensure compliance with federal, state, and payer guidelines while meeting 95% accuracy and productivity standards.
  • Serve as a resource for coding and billing issues, supporting timely charge capture and claim submission.

Oregon Health & Science University is a public academic health center dedicated to patient care, research, and education. As Portland's largest employer, it offers opportunities across hospitals and clinics with a strong commitment to diversity and inclusion.

US

  • Lead documentation excellence by conducting evaluations and identifying opportunities for improvement.
  • Collaborate with physicians and clinical staff to enhance coding accuracy and compliance.
  • Drive data-driven decisions and mentor remote teams to optimize revenue integrity.

Henry Ford Health is a leading academic health system committed to advancing health and improving lives across Michigan. With 12 hospitals and hundreds of care locations, we empower team members to grow and make a meaningful difference.

US

  • Complete final review of medical records and select appropriate ICD-10 and CPT codes within 4 days of patient discharge.
  • Review documentation to match codes with medical necessity and assign working diagnoses and DRGs.
  • Collaborate with Clinical Documentation Specialists to identify and address documentation deficiencies.

UAMS is Arkansas' only comprehensive academic health sciences center, combining education, research, and clinical programs. It fosters a collaborative culture focused on improving patient care and supporting teamwork and diversity.

US

  • Perform thorough review of medical records for identification of relevant diagnoses and procedures.
  • Assign appropriate ICD-CM and ICD-10 PCS codes to ensure accurate MS-DRG and APR-DRG assignment.
  • Abstract required data elements and adhere to compliant provider query practices and coding guidelines.

University of Utah Health is a patient-focused organization that enhances health through patient care, research, and education. It is a Level 1 Trauma Center with five hospitals and eleven clinics, nationally ranked for academic research and quality standards, and values collaboration, excellence, and integrity.

US

  • Analyze and confirm assigned encounters for provider's selection of E/M code level using auditing tools.
  • Assist physicians with record documentation needs and educate staff on coding documentation requirements.
  • Code all types of encounters and ensure data quality and optimum reimbursement under federal and state payment systems.

Sarah Bush Lincoln is a healthcare organization providing medical coding and documentation services. They foster a supportive work culture with career development programs, on-site training, and a comprehensive benefits package to retain employees.

$56,000–$94,000/yr
US

  • Apply certified coding expertise to healthcare coding activities while maintaining high accuracy and quality.
  • Review and interpret clinical and administrative documentation to support appropriate coding outcomes.
  • Follow established coding standards, policies, and regulatory requirements while protecting data confidentiality.

A partner company in the healthcare coding industry seeks a certified coding professional. The full-time remote role supports accurate and compliant coding operations in a structured environment.

US

  • Review and analyze medical record documentation to assign diagnoses and procedure codes for inpatient, outpatient, and professional services.
  • Ensure compliance with official coding guidelines and ethical standards set by AHIMA.
  • Work remotely in a full-time, days shift position using ICD-10-CM and CPT/HCPCS coding systems.

Mercy is a Catholic health system founded by the Sisters of Mercy, providing care across hospitals and clinics in the Midwest. It is a large, collaborative organization focused on innovation, technology, and compassion, with a heritage spanning over 195 years.

US

  • Develop and deliver education to clinicians on accurate documentation and risk adjustment.
  • Conduct pre-visit chart reviews and post-visit audits to identify documentation gaps.
  • Analyze performance indicators and create individualized education plans for clinicians.

Herself Health reimagines primary care for women on Medicare, focusing on thoughtful, relationship-centered care for aging women. The company operates five clinics in Minnesota and fosters a culture of curiosity, ownership, and collaboration.

US

  • Guide and develop coders to ensure accuracy and compliance in inpatient coding.
  • Promote coding excellence and mentor the next generation of coding professionals.
  • Support patient care, quality reporting, reimbursement, and regulatory compliance through accurate coding.

Henry Ford Health is a leading academic health system providing a comprehensive continuum of care including primary, specialty, virtual care, pharmacy, home health, and more. With 12 hospitals and hundreds of ambulatory care locations, they are headquartered in Detroit and have a culture of purpose, collaboration, and belonging, empowering team members to grow and make a difference.

US

  • Assigns appropriate ICD-10-CM and CPT-4 codes to outpatient visit types with high accuracy.
  • Reviews medical records thoroughly and interprets documentation to select diagnoses and procedures.
  • Meets established coding productivity and quality standards (90% productivity, 95% accuracy).

Northwestern Medicine is a healthcare system focused on a patient-first approach to deliver better healthcare. They are a large organization that values employee well-being and offers competitive benefits like tuition reimbursement and 401(k) matching.

US

  • Reviews, analyzes, and validates diagnostic and procedural codes for reimbursement and billing purposes.
  • Abstracts accurate information from the electronic health record to support patient care evaluation and administrative decision making.
  • Ensures compliance with established coding guidelines, third-party reimbursement policies, and regulatory requirements.

Henry Ford Health is a leading academic health system providing a comprehensive continuum of care, from primary and specialty care to virtual care, pharmacy, and health insurance, across Michigan and around the world. With 12 hospitals and hundreds of ambulatory care locations, the organization is grounded in purpose, collaboration, and belonging, empowering team members to grow their careers and make a meaningful difference.

US Unlimited PTO 17w maternity 9w paternity

  • Conduct routine and focused audits of medical coding to ensure compliance with CMS, payer, and organizational standards.
  • Develop and deliver education and feedback to coders and providers to improve documentation quality and coding accuracy.
  • Assist with internal and external audit preparation and response, including documentation requests and validation reviews.

Sprinter Health reimagines healthcare by delivering care directly to patients' homes using marketplace and last-mile technologies. They have supported over 2 million patients across 22 states, completed 130,000 in-home visits, and raised over $125M from investors like a16z and General Catalyst, with a team of clinicians, technologists, and operators.

$93,392–$149,156/yr
US 42w PTO

  • Lead coding operations across a multi-specialty academic health system, including workflow, staffing, and capacity planning.
  • Guide and develop Coding Specialists and the Coder Auditor/Trainer team, fostering accountability, teamwork, and continuous learning.
  • Collaborate with Enterprise Coding leadership to improve coding quality, compliance, and operational performance.

OHSU is Oregon's only public academic health center, providing patient care, groundbreaking research, and training for the next generation of health care professionals. As Portland's largest employer, it offers opportunities to learn and advance within a system of hospitals and clinics across Oregon and Southwest Washington.

US

  • Review and analyze complete patient medical records to identify all diagnostic and procedural information.\n- Assign accurate diagnostic and procedural codes using encoder software to ensure proper MS-DRG assignment and sequencing.\n- Maintain compliance with coding guidelines and verify medical record completeness for accurate reimbursement.

Henry Ford Health is a leading academic health system providing a comprehensive continuum of care, including primary to complex care, virtual care, and health insurance. With 12 hospitals and hundreds of ambulatory locations across Michigan, it is headquartered in Detroit and committed to innovation and community impact.

US

  • Perform retrospective reconciliation of complex CDI reviews and final coded records, ensuring clinical documentation integrity.
  • Collaborate with CDI specialists, coding professionals, and physicians to resolve documentation discrepancies and improve quality.
  • Monitor reconciliation metrics, support quality initiatives, and serve as a resource for documentation and coding guidance.

Tufts Medicine is an integrated health system combining academic and community medicine to deliver connected care across Massachusetts. With over 15,000 employees and caregivers, it fosters a culture of collaboration and innovation.