Coding Analyst

PIH Health is seeking a dedicated and detail-oriented individual to join our team as a Coding Analyst. This entry-level position offers a unique opportunity to work alongside a Senior Coding Analyst for the first year, providing a robust learning environment. The Coding Analyst will report to the Lead Coding Analyst and play a crucial role in enhancing the quality of data submissions for CMS Risk Adjustment and Quality Incentive programs. The successful candidate will be instrumental in identifying gaps in submissions, resolving data quality issues, and pinpointing areas for coding improvements. Additionally, the Coding Analyst will be responsible for assisting with data collection for CMS Sweeps. As a member of the PIH Health team, you will contribute to our mission of delivering high-quality healthcare services to the residents of the Los Angeles County, Orange County, and San Gabriel Valley region. Our integrated network is known for its patient care excellence and innovative healthcare technology. We are looking for a professional who is eager to grow within our organization and committed to our values of integrity, community, and excellence. This full-time, regular/at-will position is based at PHP and requires a high school diploma or equivalent as a minimum educational qualification. The ideal candidate will be a Certified Professional Coder (CPC) with at least three years of experience in medical group-related billing, claims, medical assisting, or medical records. The role demands excellent communication skills, a quick learning ability, strong organizational skills, and proficiency in data entry and ICD-10 coding. The Coding Analyst will be compensated on an hourly basis. If you are passionate about healthcare and have a keen eye for detail, we encourage you to apply for this exciting opportunity to advance your career with PIH Health.

Required Skills

• Excellent oral and written communication abilities
• Quick learning capacity for new systems and protocols
• Strong organizational and time management skills
• Proficient data entry skills with a focus on accuracy
• Strong knowledge of ICD-10 coding principles and practices
• Ability to work effectively both independently and as part of a team
• Proficiency with computer systems and keyboarding
• Familiarity with healthcare compliance and regulations
• Analytical skills to identify and resolve data quality issues

Required Experience

• High School diploma or equivalent educational background
• Minimum of three years' experience in medical group-related billing, claims, medical assisting, or medical records
• In-depth knowledge of Medical Terminology, Anatomy, Physiology, Pharmacology, and Disease Processes
• Certification in ICD-10 coding
• Certified Professional Coder (CPC) credential is required
• Experience with computer keyboarding and data entry
• Certified Risk Adjustment Coder (CRC) is preferred but not mandatory