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Ambulatory Coding Analyst – Hybrid
Franciscan HealthCore Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in coding compliance and auditing processes, with a strong focus on CPT code utilization and regulatory adherence. Proficient in using auditing software to assess provider documentation and generate comprehensive reports.
Highest-signal resume keywords
Coding ExperienceCertified Coding Specialist (CCS)Certified Professional Coder (CPC)Registered Health Information Technician (RHIT)Federal And State Coding Requirements
About the role
Key responsibilities & impact- Assist the department director and lead analyst in developing an annual work plan for reviewing assigned providers
- Select providers from the established work plan and use software to compare their average CPT code utilization with peers
- Obtain and review provider progress notes for each date of service involved in reviews
- Use auditing software to assess progress notes for key components, CPT compliance, and level of service
- Review pertinent records and applicable regulations, summarize findings, and create reports using the established template
- Review audit findings with providers
- Audit physicians whose billing activity falls significantly below the benchmark
- Provide orientation on coding and billing compliance issues and answer providers' questions
Requirements
What you’ll need- High School Diploma/GED - Required
- Bachelor's Degree - Preferred
- 3 years Coding Experience - Required
- CCS (Certified Coding Specialist) - Required - or-
- CPC (Certified Professional Coder) -- Required - or-
- RHIT (Registered Health Information Technician) - Required
- Current knowledge of all federal and state coding requirements and procedures
- Up to 50% travel required
Benefits
Comp & perks- Eligible employees receive comprehensive benefit offerings; an overview is available on the employer’s career site
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
CPT Code UtilizationAuditing SoftwareProgress Notes ReviewCompliance AssessmentReport Creation
Soft Skills
CommunicationOrientation SkillsInterpersonal Skills
Certifications & Qualifications
CCSCPCRHIT
Industry Keywords
Billing ComplianceProvider AuditingHealthcare RegulationsCPT ComplianceBenchmarking