The PB Coding Analyst II is responsible for accurate coding of simple and advanced professional services, including complex E/M visits and surgical procedures using CPT, HCPCS, and ICD-10-CM coding systems. This role supports compliance, revenue integrity, and timely claim submission.
Key Responsibilities
- Assign accurate CPT, HCPCS, and ICD-10-CM codes for office and outpatient E/M services, complex and specialty-specific procedures, and surgical procedures from operative reports.
- Review and interpret operative notes to determine correct procedure selection and modifier assignment.
- Ensure compliance with NCCI edits, payer policies, 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 consistent productivity standards.
- Stay current with coding updates and regulatory changes.
- Provide feedback and education to providers on documentation improvement.
- Perform other tasks and responsibilities as assigned.
Requirements & Qualifications
Education
- High school diploma or equivalent required.
- Coding certification preferred (CPC, CCS-P, or equivalent).
Experience
- 1-2 years of professional coding experience preferred.
- Prior experience with surgical coding and operative reports preferred.
Knowledge and Skills
- Strong knowledge of E/M coding, including risk-based MDM.
- Strong knowledge of ICD-10-CM diagnosis coding, CPT procedure coding, and surgical CPT coding across one or more specialties.
- Knowledge of modifier usage and NCCI guidelines.
- Familiarity with medical terminology, anatomy, and surgical procedures.
- Strong attention to detail and organizational skills.
- Ability to communicate effectively in English, both verbally and in writing.
- Ability to work independently and as part of a team.
Physical Requirements
- Vision acuity.
- Hearing sensitivity.
- Manual dexterity.
- Occasional bending, stooping, kneeling, reaching, lifting, and standing.
Location
Texas, US
Employment Type
Full-time
Experience Level
Intermediate Level
Remote work allowed
No
Posted
3 weeks ago
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