Coding PB Analyst I

Summary The PB Coding Analyst I is responsible for accurate coding of professional services, primarily office-based evaluation and management (E/M) visits, using CPT, HCPCS, and

ICD-10-CM

coding systems. This role supports compliance, revenue integrity, and timely claim submission. Educational Requirements High school diploma or equivalent required Coding certification preferred (CPC, CCS-P, or equivalent) Knowledge/Skills/Abilities 0-1 year of coding experience or relevant training preferred Basic knowledge of: E/M coding guidelines

ICD-10-CM

diagnosis coding CPT procedure coding Strong attention to detail and organizational skills Must be able to communicate effectively in English, both verbally and in writing Ability to work independently and as part of a team Physical Requirements Vision acuity, hearing sensitivity, and manual dexterity Occasional bending, stooping, kneeling, reaching, lifting, and standing Key Responsibilities Assign accurate CPT, HCPCS, and

ICD-10-CM

codes for: Office and outpatient E/M services Basic in-office procedures (e.g., minor procedures, injections, simple diagnostics) Review provider documentation to ensure coding accuracy and completeness Ensure compliance with payer guidelines, CMS regulations, and organizational coding policies Identify and communicate documentation deficiencies to providers or leadership Assist with charge capture, coding audits, denials, and appeals Maintain a 95% or higher accuracy rating and demonstrate a consistent level of performance, keeping up with industry standards of charts per hr. per area of specialty Stay current with coding updates and regulatory changes Provide feedback and education to providers on documentation improvement Other tasks and responsibilities as assigned