Franciscan Health
Franciscan Health
Franciscan Health is a healthcare organization providing medical care through clinical, allied health, nursing, physician, advanced practice, home health, hospice, and administrative teams. Rooted in the Franciscan tradition, the organization focuses on compassionate care and service to communities while offering career opportunities across a broad range of healthcare specialties and support functions.

Ambulatory Coding Analyst

Review ambulatory provider documentation and CPT coding for accuracy and billing compliance. Share audit findings, reports, and coding guidance with Franciscan Health physicians.

Description

  • Help develop an annual provider review plan with the department director and lead analyst
  • Select providers from the plan and compare their average CPT code use with peers using software
  • Gather and review provider progress notes for the dates of service included in each audit
  • Use audit software to assess documentation components, CPT compliance, and service levels
  • Review relevant records and regulations, summarize findings, and prepare reports using the established template
  • Discuss audit findings with providers
  • Audit physicians whose billing activity is substantially below the benchmark
  • Orient providers to coding and billing compliance issues and answer their questions

Requirements

  • High school diploma or GED required
  • Bachelor's degree preferred
  • Three years of coding experience required
  • CCS, CPC, or RHIT credential required
  • Current knowledge of federal and state coding requirements and procedures
  • Travel of up to 50% required.
  • fields
  • benefits

Benefits

  • Eligible employees receive comprehensive benefits; an overview is available on the employer's career site

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