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Coding Compliance and Education Analyst

Summary

Reviews medical records to ensure diagnostic and procedural coding accuracy and compliance, then educates coding staff on federal/state guidelines and audit findings.

Beyond Blue

Job Posting Title:

Coding Compliance and Education Analyst

Requisition Number:

R-000002005

Department Name:

Manager, Coding Quality and Education

Work Location:

Remote-KY

Grade Level:

12

Type of Position:

Regular

Position Time Status:

Full time

Equivalency Link

https://hr.uky.edu/employment/working-uk/equivalencies

Shift:

Days (United States of America)

Job Description:

Job Summary

Responsible for reviewing medical records to ensure accuracy, completeness, and compliance of diagnostic and procedural coding, and documentation standards. Provides expertise in applying federal and state coding guidelines to support appropriate reimbursement and clinical severity capture. Develops audit findings, communicates results, and delivers targeted education to coding, clinical documentation, and revenue cycle teams. Coordinates with leadership to recommend process improvements, mitigate compliance risks, and enhance coding accuracy across the enterprise.


Essential Functions

• Conducts reviews of inpatient and outpatient coding reports to validate accurate diagnostic and procedural coding and documentation support, informing early detection of potential compliance or quality issues.

• Identifies discrepancies or errors in coding and documentation while identifying underlying root causes and communicating results to coding staff.

• Provides education and feedback to coding staff, CDI specialists, and other stakeholders based on audit findings.

• Supports training initiatives for new coders and ongoing education for existing staff on coding guidelines and updates.

• Collaborates with coding managers, CDI leaders, and revenue integrity teams to strengthen coding processes and compliance.

• Stays current with coding rules, trends, and industry changes to guide staff education and audit practices.

• Assists in developing reference materials such as coding handbooks and educational modules.

• Performs other duties as assigned.


Education Requirement: Bachelor’s degree


Experience Requirement: 2+ years of experience

An equivalent combination of education and experience may be considered. All experience must be paid and in the same related field. Part-time and PRN experience will be prorated based on hours worked per week. Volunteer work and internships for academic credit are not counted.


Certifications & Licensures: RHIA Certification, CPMA, CCDS, Certified Coding Specialist (CCS) or Certified Professional Coder (CPC) preferred


Working Conditions

A. Lifting, pushing, and/or pulling objects up to 50lbs: 2. Occasional (< 10% of the time)

B. Lifting, pushing, and/or pulling objects over 50lbs: 1. Never

C. Standing or walking with objects up to 10lbs: 2. Occasional (< 10% of the time)

D. Standing or walking with objects up to 25lbs: 1. Never

E. Sitting at computer workstation for extended periods: 4. Regular (> 50% of the time)

F. Risk of back injury from moving, lifting or positioning patients, equipment, or materials: 1. Never

G. Repetitive motion: 4. Regular (> 50% of the time)

H. Working at heights above 4 feet: 1. Never

I. Working in confined spaces: 1. Never

J. Risk of injuries from use of equipment on the job: 1. Never

K. Job-related travel: 2. Occasional (< 10% of the time)

L. Loud noises: 1. Never

M. Temperature extremes: 1. Never

N. Hazardous chemicals and fumes including waste: 1. Never

O. Radiation: 1. Never

P. Burns: 1. Never

Q. Cuts/Punctures: 1. Never

R. Bloodborne/airborne pathogens: 1. Never

S. Recombinant DNA or viral vectors: 1. Never

T. Combative/violent people: 1. Never

U. Animal handling (including carcasses): 1. Never

V. Please specify other(s) and amount of exposure (i.e. Occasional, Intermittent or Regular): N/A


Physical Demands

This position requires regular sitting at a computer workstation for extended periods of time; performing tasks with regular repetitive motions (such as typing); intermittent standing or walking with objects weighing up to 10 pounds; and occasional lifting, pushing, and/or pulling of objects up to 50 pounds or standing or walking with objects up to 25 pounds.

Our University Community

We value the well-being of each of our employees and are dedicated to creating a healthy place for everyone to work, learn and live. In the interest of maintaining a safe and healthy environment for our students, employees, patients and visitors, the University of Kentucky is a Tobacco & Drug Free campus.

The University follows both the federal and state Constitutions as well as all applicable federal and state laws on nondiscrimination. The University provides equal opportunities for qualified persons in all aspects of institutional operations and does not discriminate on the basis of race, color, national origin, ethnic origin, religion, creed, age, physical or mental disability, veteran status, uniformed service, political belief, sex, sexual orientation, gender identity, gender expression, pregnancy, marital status, genetic information or social or economic status.

Any candidate offered a position may be required to pass pre-employment screenings as mandated by University of Kentucky Human Resources. These screenings may include a national background check and/or drug screen.

See also