Clinician Service Analyst Senior- Medical Specialties

Responsibilities

• Monitor and analyze KPIs to identify trends and transform data into actionable reports and presentations that support strategic decision-making.
• May participate in Service Line leadership meetings to represent Clinician Services, share updates, propose improvements, and align departmental efforts with organizational strategy.
• Collaborate with leadership and cross-functional teams—including Coding, CDI, CMD, Integrity Operations, Optimization & Technology, and Clinical Informatics—to identify improvement opportunities and advance documentation practices.
• Provide operational and technical guidance to staff and stakeholders, ensuring clarity and consistency in documentation and coding processes.
• Demonstrate compliance with regulatory requirements, including CMS, QIOs, NCCI edits, and payer-specific guidelines, while adhering to AHIMA’s Standards of Ethical Coding.
• Utilize EHR systems and coding tools proficiently, maintaining data integrity and supporting efficient documentation workflows.
• Maintains confidentiality of patient records. Reports any perceived non-compliant practices to the Clinician Services leadership or compliance officer.
• Engage in continuous learning, staying current with evolving coding guidelines, practices, and terminology through training and professional development.
• Promote a collaborative, service-oriented culture, modeling professionalism and teamwork across Clinician Services and organizational stakeholders.

• Monitor and analyze KPIs to identify trends and transform data into actionable reports and presentations that support strategic decision-making.
• May participate in Service Line leadership meetings to represent Clinician Services, share updates, propose improvements, and align departmental efforts with organizational strategy.
• Collaborate with leadership and cross-functional teams—including Coding, CDI, CMD, Integrity Operations, Optimization & Technology, and Clinical Informatics—to identify improvement opportunities and advance documentation practices.
• Provide operational and technical guidance to staff and stakeholders, ensuring clarity and consistency in documentation and coding processes.
• Demonstrate compliance with regulatory requirements, including CMS, QIOs, NCCI edits, and payer-specific guidelines, while adhering to AHIMA’s Standards of Ethical Coding.
• Utilize EHR systems and coding tools proficiently, maintaining data integrity and supporting efficient documentation workflows.
• Maintains confidentiality of patient records. Reports any perceived non-compliant practices to the Clinician Services leadership or compliance officer.
• Engage in continuous learning, staying current with evolving coding guidelines, practices, and terminology through training and professional development.
• Promote a collaborative, service-oriented culture, modeling professionalism and teamwork across Clinician Services and organizational stakeholders.

• Registered Health Information Administrator (RHIA) or Registered Health Information Technician (RHIT) certification, or Coding Specialist (CCS) certification, or Coding Specialist – Physician (CCS-P) certification issued by the American Health Information Management Association (AHIMA) or Professional Coder (CPC) certification issued by the American Academy of Professional Coders (AAPC).
• Specialty credential required

• Completion of advanced training through a recognized or accredited program, equivalent in scope and rigor to post-secondary education or equivalent knowledge. High school diploma or GED required

• 5 years of experience in expert-level professional and/or facility coding, and experience in collaborating with other teams within an organization, and/or educating/training licensed clinicians. Advanced level of ICD-10-CM/PCS and/or ICD-10-CM/CPT/HCPCS for a large complex health care system or medical group.

• Extensive knowledge of third-party reimbursement programs, state and federal regulatory issues, national and local coverage determinants, research-related restrictions, ICD-10…