Certified Outpatient Coding Analyst

Job Summary

A company is looking for a Senior Coding Denials Analyst, Outpatient.

Key Responsibilities

• Research and analyze inpatient claim edits, denials, and coding compliance issues to optimize reimbursement
• Identify trends and provide feedback on coding-related software edits and denial issues to relevant departments
• Participate in the development of validation checks to enhance revenue cycle processes

Required Qualifications, Training, and Education

• Extensive knowledge of diagnostic and procedural terminology, ICD-9, ICD-10, CPT-4, and HCPCS coding schemes
• Two years of experience in hospital outpatient coding
• Working knowledge of anatomy, physiology, and pathophysiology
• Current knowledge in coding schemes, prospective payment systems, and clinical practices
• Must maintain certification in RHIA, RHIT, CCS, CPC, or COC with continuing education requirements