Overview
Unified Women's Healthcare supports OB/GYN providers and their practices by focusing on the business side of medicine. The organization is mission-driven, action-oriented, and committed to helping practices deliver great care.
The Coding Analyst reviews, audits, and codes provider documentation for reimbursement, training, education, and compliance using ICD-10 and CPT codes. This role supports the Revenue Cycle team by analyzing pre-bill claim edits, claim denials, and accounts receivable management, and by helping ensure accurate coding and adherence to payer policy requirements. The position also assists with proactive chart audits, second-level code reviews, and updates to procedures and protocols to maintain billing and compliance standards.
Responsibilities
- Perform second-level review of billing to ensure compliance with legal and procedural policies
- Audit medical record documentation to identify under-coded and over-coded services
- Prepare audit findings and educate providers on accurate coding and compliance issues
- Clarify conflicting, ambiguous, or non-specific documentation through provider queries
- Escalate documentation trends and issues to Revenue Cycle leadership
- Work with revenue specialists and billing staff on claim follow-up, corrections, and resubmissions
- Analyze payer performance, fee schedules, reimbursement trends, denials, and billable services
- Monitor payer policy changes and communicate updates to provider specialties
- Provide training, guidance, and oversight to less experienced coding staff
- Serve as a subject matter expert for clinicians, practice managers, and billing teams
- Review, modify, and adapt procedures, protocols, and data management systems for compliance
- Update charge documents and support implementation of coding changes
- Maintain strict confidentiality of financial and medical records
Qualifications
- Certified Professional Coder (CPC) certification required
- Minimum of 5 years of experience as a biller, collector, coder, or back office support staff, or equivalent medical industry experience
- OB/GYN experience preferred but not required
- Associate degree from an accredited university preferred
- Knowledge of auditing concepts and principles
- Advanced knowledge of medical coding and billing systems and regulatory requirements
- Ability to use independent judgment and manage confidential information
- Strong problem-solving, communication, and interpersonal skills
- Knowledge of legal, regulatory, and policy compliance issues related to medical coding and billing
- Knowledge of current and developing issues and trends in medical coding procedures and requirements
Benefits
- Medical, dental, and vision coverage
- Fertility benefits and supplemental insurance options
- Vacation, personal days, and paid holidays
- 401(k) with employer contribution
- Flexible Spending Accounts (FSAs) and Health Savings Accounts (HSAs)
- Short- and long-term disability
- Paid parental leave
- Basic life insurance and optional additional coverage
- Employee Assistance Program
- Commuter benefits
- Pet insurance
- Identity theft protection
- Professional development opportunities and resources
Location
Florida, US
Employment Type
Full-time
Experience Level
Senior
Remote work allowed
No
Posted
1 week ago