Compliance and Coding Analyst

Job Code : EWC - 889

Required skills:
 Minimum High School Diploma, GED or equivalent training or experience required
 Minimum 1 to 2 years of experience reviewing medical documentation
 Required certifications include AHIMA or AAPC coding credentials
 Experience with various Electronic Health Records
 Knowledge of current and developing issues and trends in medical coding procedures
requirements
 Knowledge of medical billing, coding, and claim submission operations.
 Knowledge of legal and policy constraints pertaining to patient billing
 Strong organizational skills and attention to detail.
 Ability to prioritize provider medical record reviews/projects and provider coding education
opportunities with alignment with reviews and overall trends
Desired additional information:
Planned start date: ASAP

Job Summary:
Come join the team at Windham Brannon, a leading Public Accounting and Advisory firm. Offering a
competitive benefits package that includes four weeks of PTO, a 401k plan with company matching, and
many bonus opportunities, WB is committed to creating exceptional outcomes for our people. As a
client and people-focused firm, we pride ourselves on our family-friendly culture and work-life balance.
Our Healthcare Advisory team is looking to add a Coding Analyst to their team. The Coding Analyst is
entrusted with the job of reviewing and coding medical records for the purpose of clinical

documentation improvement, reimbursement opportunities, educational resources, and
recommendations for better coding practices and compliance enforcement.
.

Responsibilities: 
 Conducts reviews of professional and hospital charges to ensure medical documentation
supports billed codes by applying appropriate ICD-10-CM, CPT/HCPCS coding and governmental
guidelines. Formulates recommendations based upon the findings and conducts training
sessions with physicians and non-physicians staff as appropriate.
 Participates in developing and executing provider and non-provider comprehensive educational
resources and training tools based on medical documentation review results, trends & changes
within coding compliance and regulatory guidelines, while supporting organizational compliance
models
 Assists physicians and non-providers with questions and concerns related to documentation,
coding, and billing guidelines
 Follows appropriate policies, procedures and guidelines ensuring compliance with state and
federal laws, policies, and regulations
 Provides recommendations to leadership to modify reference materials and processes that do
not fully satisfy regulatory or legal compliance related to coding
 Initiates follow-up activities to reflect change for compliance
 Acts as a liaison to other divisions/departments (health management, service, claims) for coding
policy and coding/payment issues
 Provides support for any other related compliance and coding initiatives and assist in other
related responsibilities as required by executive leadership team