Clinician Services Analyst Senior - Primary Care

Major 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. 

Licensure, Registration, and/or Certification Required:

• 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 

Education 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 

Experience 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. 

Knowledge, Skills & Abilities Required:

• Extensive knowledge of third-party reimbursement programs, state and federal regulatory issues, national and local coverage determinants, research-related restrictions, ICD-10 CM/PCS, and CPT/HCPCS coding classifications. 

• Proficiency in statistical analysis is essential to examine revenue cycle/reimbursement activities and identify and address related issues. 

• Demonstrated proficiency in the Microsoft Office Suite (Word, Excel, PowerPoint, Teams, etc.) or similar products and in patient accounting and billing systems. 

• Ability to deal and work effectively with multiple departments and in matrix organizational structures. Proven ability to influence others not directly reporting to them. Strong negotiating skills. Strong oral and written communication skills. 

• Strong understanding of medical terminology, anatomy, and physiology to support precise code assignment. 

• Highly proficient in problem-solving and analytical thinking with strong attention to detail. 

• Advanced knowledge of Epic and other reporting tools to analyze data, generate reports, and optimize workflow efficiencies 

Physical Requirements and Working Conditions:

• Follows organizational and divisional remote work policy and guidelines. 

• Operates all equipment necessary to perform the job.  

• Handles a fast paced and creative work environment moving independently from one task to another. 

• Makes sound decisions within limited time frames and always conducts business in a professional manner and has demonstrates ability to work cooperatively and effectively with others on an individual and team basis. 

Physical Requirements and Working Conditions:

• Advanced training beyond High School that may include the completion of an accredited or approved program in Medical Coding and/or Associate or Bachelor’s degree preferred.

• Specialty credential through AHIMA, AAPC or HFMA 

This job description indicates the general nature and level of work expected of the incumbent. It is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. Incumbent may be required to perform other related duties.