The PB Coding Analyst II is responsible for accurate coding of simple and advanced professional services, including complex E/M visits and surgical procedures using CPT, HCPCS, and ICD-10-CM coding systems. This role requires strong knowledge of coding guidelines, anatomy, and operative report review to ensure accurate code assignment and optimal reimbursement. 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
1-2 years of professional coding experience preferred
Prior experience with surgical coding and operative reports
Strong knowledge of:
E/M coding (including risk-based MDM)
ICD-10-CM diagnosis coding
CPT procedure coding
Surgical CPT coding across one or more specialties
Modifier usage and NCCI guidelines
Medical terminology, anatomy, and surgical procedures
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
Complex and specialty-specific procedures
Surgical procedures from operative reports
Review and interpret operative notes to determine correct coding, including:
Ensure compliance with NCCI edits, payer policies, and CMS guidelines, and organizational coding policies
Identify opportunities for coding optimization while maintaining compliance
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
Numbers & Facts
Location
Wichita Falls, Texas
Skills
Analysis Skillsunmatched
Anatomyunmatched
Charge Captureunmatched
Communication Skillsunmatched
Content Management Systems (CMS)unmatched
Current Procedural Terminology (CPT)unmatched
Detail Orientedunmatched
Documentationunmatched
English Languageunmatched
Healthcare Common Procedure Coding System (HCPCS)unmatched
High School Diplomaunmatched
ICD-10unmatched
Industry Standardsunmatched
Internet/Online Serviceunmatched
Maintain Complianceunmatched
Manual Dexterityunmatched
Manufacturing Data Managementunmatched
Medical Billingunmatched
Medical Codingunmatched
Medical Terminologyunmatched
Medical Treatmentunmatched
Organizational Skillsunmatched
Outpatient Careunmatched
Policy Developmentunmatched
Professional Servicesunmatched
Regulationsunmatched
Reimbursementunmatched
Riskunmatched
Surgical Proceduresunmatched
Team Playerunmatched
Time Managementunmatched
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