Medical Coding Educator/Analyst

As a community, the University of Rochester is defined by a deep commitment to Meliora - Ever Better. Embedded in that ideal are the values we share: equity, leadership, integrity, openness, respect, and accountability. Together, we will set the highest standards for how we treat each other to ensure our community is welcoming to all and is a place where all can thrive.

Job Location (Full Address): 601 Elmwood Ave, Rochester, New York, United States of America, 14642 Opening: Worker Subtype Regular Time Type Full time Scheduled Weekly Hours 40 Department 500009 Utilization Management Work Shift UR - Day (United States of America) Range UR URG 110 Compensation Range $61,000.00 - $85,400.00 The referenced pay range represents the minimum and maximum compensation for this job. Individual annual salaries/hourly rates will be set within the job's compensation range, and will be determined by considering factors including, but not limited to, market data, education, experience, qualifications, expertise of the individual, and internal equity considerations. Responsibilities: Collaborates with coding and clinical documentation integrity management, plays a critical role in ensuring the accuracy, completeness, and compliance of coding practices within the organization.

Develops and delivers coding education programs, conducts regular coding audits, analyzes coding data to identify trends and areas for improvement, and serves as a subject matter expert on coding guidelines and regulations. Fosters a culture of continuous learning and coding excellence among our coding staff and clinical documentation team for the accurate and timely assignment of diagnostic and procedural codes for complex patient encounters. Provides expert-level coding guidance, education, and quality review for all coding staff.

Acts as a subject matter expert, ensuring coding compliance, data integrity, process improvements, system implementations and upgrades, and optimal reimbursement while supporting the professional development of the coding team. Essential Functions: Develops, implements, and delivers comprehensive coding education programs for new hires and existing coding staff, covering ICD-10-CM/PCS, CPT, HCPCS, DRG, and APC methodologies. Provides ongoing education on updates to coding guidelines, regulatory changes, and payer requirements.

Creates educational materials, presentations, and job aids to support learning and reference. Conducts one-on-one coaching and mentoring sessions for coders to address specific areas for improvement. Collaborates with clinical documentation team to provide education to clinicians on documentation best practices that support accurate coding.

Serves as a resource to the coders, clinical documentation specialists, providers, ISD, Compliance, and other billing departments. Performs regular internal coding audits (pre-bill and post-bill) to assess coding accuracy, compliance with official guidelines, and adherence to organizational policies. Identifies coding discrepancies, documentation deficiencies, and opportunities for revenue integrity improvement.

Provides constructive feedback to coders based on audit findings and monitors progress on corrective actions. Assists in preparing for external audits and responding to audit requests. Analyzes coding data, audit results, and denial trends to identify patterns, root causes of errors, and areas requiring focused education or process improvement.

Generates reports on coding accuracy, productivity, and educational effectiveness for department leadership. Monitors key performance indicators (KPIs) related to coding quality and compliance. Participates in the development and revision of coding policies, procedures, and guidelines to ensure compliance with regulatory standards and industry best practices.

Stays current with changes in coding regulations (e.g., CMS, OIG), payer policies, and industry standards. Serves as a subject matter expert in coding. Other duties as assigned.

Minimum Education