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