Senior Medical Coder

Senior Clinical Coding Analyst

Health Business Solutions, LLC

We are seeking an experienced and detail-oriented Senior Clinical Coding Analyst to join our team and take on a crucial role in ensuring coding quality within our revenue cycle. As a Senior Clinical Coding Analyst, you will be responsible for analyzing and validating clinical codes used in the revenue cycle processes, identifying areas of improvement, and implementing coding quality initiatives. Your expertise in clinical coding, regulatory guidelines, and revenue cycle operations will play a vital role in maintaining accurate and compliant coding practices

.
Company Overvie

w:For over 20 years, we’ve been a leading middle market revenue cycle management (RCM) vendor, providing comprehensive financial and operational solutions to health systems, physician groups, or specialty medical practices. Our mission is to improve the overall financial health of our clients by offering customized, data-driven, and tech-enabled recovery of denied claims and aged receivables. We utilize our deep expertise in revenue cycle to help transform our client’s revenue cycle processes to achieve sustained reductions in denial rate

s.
Key Responsibiliti

• es:Analyze and evaluate clinical codes used in the revenue cycle, including diagnosis codes (ICD-10-CM), procedure codes (CPT/HCPCS), and related modifie
• rs.Conduct regular audits of coded medical records, ensuring accuracy, completeness, and compliance with relevant coding guidelines, industry standards, and regulatio
• ns.Identify coding discrepancies, documentation deficiencies, and areas for improvement in the coding and revenue cycle process
• es.Collaborate with coding teams, healthcare providers, and revenue cycle stakeholders to resolve coding-related issues, clarify documentation requirements, and ensure accurate code assignme
• nt.Develop and implement coding quality initiatives, including education and training programs, to enhance coding accuracy, compliance, and productivi
• ty.Stay up-to-date with the latest changes in coding guidelines, regulations, and industry best practices, and ensure timely implementation of necessary updates within the organizati
• on.Provide guidance and mentorship to coding staff, assisting in the resolution of complex coding cases, and promoting professional developme
• nt.Generate regular reports and metrics related to coding quality, productivity, and compliance, highlighting areas of concern and recommending actionable improvemen
• ts.Collaborate with IT teams and other stakeholders to optimize coding tools, software, and systems, ensuring seamless integration within the revenue cycle process
• es.Participate in coding-related projects, committees, and cross-functional teams, representing the coding and revenue cycle perspective and contributing to organizational goa

ls.
Qualificati

• ons:Certifications: Certified Professional Coder (CPC), Certified Coding Specialist (CCS), Certified Inpatient Coder (CIC), or similar certification is requi
• red.Experience: Minimum of 2-3 years of medical coding or auditing experience and experience with risk adjustment audits, clinical documentation improvement (CDI), and payer aud
• its.Knowledge of Coding Systems: Strong knowledge of ICD-10, CPT, and HCPCS coding systems, and familiarity with DRG, E/M cod
• ing.Bachelor's degree: in Nursing, or any Medical or Health Information Management or a related fi
• eld.Proficient in using coding software, encoders, and electronic health record (EHR) syst
• ems.Excellent understanding of revenue cycle workflows, including charge capture, billing, claims processing, and reimbursement methodolog
• ies.Proven track record in conducting coding audits, implementing coding quality improvement initiatives, and achieving measurable outco
• mes.Exceptional attention to detail and accuracy, coupled with excellent organizational and problem-solving ski
• lls.Effective communication and interpersonal skills, with the ability to collaborate with diverse stakeholders, provide education, and resolve coding-related iss
• ues.Ability to work independently, prioritize tasks, and meet deadlines in a dynamic and fast-paced environm
• ent.Proficiency in using coding-related software and tools, as well as a high level of computer liter

acy.
Join our dynamic organization as a Senior Clinical Coding Analyst, and contribute to the enhancement of coding quality within the revenue cycle, ensuring accurate and compliant coding practices that support optimal healthcare outc

omes.
Health Business Solutions, LLC provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local