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Aurora Health Care · 3 weeks ago

Clinician Services Analyst Senior - Primary Care

United States

Full-time

Remote

Senior Level

$37/hr - $56/hr

5+ years exp

Aurora Health Care is seeking a Clinician Services Analyst Senior to monitor and analyze KPIs, transforming data into actionable reports to support strategic decision-making. The role involves collaboration with various teams to improve documentation practices and ensure compliance with regulatory requirements.

Health Care

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

Qualification

ICD-10-CM/PCS codingCPT/HCPCS codingRegistered Health Information AdministratorStatistical analysisMicrosoft Office SuiteEpic reporting toolsAnalytical thinkingProblem-solvingCommunication skillsTeamwork

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

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

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

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

Preferred

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