Open Opportunities

At Oregon Specialty Group, we take care of people. The Senior Medical Coding Quality Analyst ensures accurate, efficient, and compliant medical coding across the organization. This role involves developing and maintaining quality systems, auditing coded records, and collaborating with physicians to support correct coding practices. The Analyst also promotes continuous improvement, supports data-driven performance goals, and leads initiatives to enhance coding quality and compliance.

The Senior Coding Quality Analyst ensures OSG’s documentation and billing comply with government and third-party payer regulations. This role collaborates with internal teams to enhance documentation, coding, and compliance practices. Following official coding guidelines and OSG policies, the Analyst conducts quality reviews—both pre- and post-bill—on coding and documentation completed by providers and professional coders to ensure accuracy and ethical standards. The position requires expert knowledge of CPT, ICD-10-CM, and HCPCS coding, and is responsible for developing and implementing coding quality review programs, analyzing risk, and reporting findings and recommendations to Revenue Cycle leadership.

Quality 

• Serve as a subject matter expert on medical coding workflows, systems, regulations, and education practices.
• Develop and lead the coding quality review process, including error analysis, targeted education, individualized coder feedback, and trend identification for training opportunities.
• Conduct coding audits, providing detailed feedback and coaching to coders and physicians to ensure guideline adherence and accuracy.
• Ensure ongoing compliance with federal and state medical coding and billing regulations.
• Design and implement a structured QA monitoring system to support consistent quality oversight.
• Manage coding workflows and monitor key performance indicators (KPIs) to ensure efficiency, accuracy, and productivity.
• Train and mentor coding staff to promote continuous improvement and professional development.
• Lead performance improvement initiatives and projects to enhance coding effectiveness.
• Stay updated on coding guidelines, clinical procedures, payer policies, and communicate changes to providers, supervisors, and billing teams.
• Prepare and track MIPS (Merit-based Incentive Payment System) performance reports.

Analytics

• Identify coding and billing risk areas and conduct targeted reviews to ensure coding accuracy using official guidelines, Medicare/Medicaid policies, and third-party payer resources.
• Evaluate and optimize system rules for efficiency, leveraging platform best practices and standardization.
• Collaborate with revenue cycle teams to implement and coordinate rule changes within billing and EHR systems.
• Design and generate custom reports to track performance against key departmental metrics.
• Investigate and resolve system issues, identifying root causes that delay account resolution.
• Analyze application workflows and develop related policies and procedures in collaboration with end users.
• Lead and streamline coding operations to boost charge capture and release, improve claim accuracy, and reduce accounts receivable aging.

Required Qualifications

• Certified through RHIT, RHIA,
• Certified through CPC, CCS, AAPC, or equivalent certification
• Minimum of 2 years of as a Coding Analyst or Coding Supervisor
• Over 5 years of coding experience, including 2+ years in multispecialty coding.
• Skilled in conducting coding audits and delivering actionable feedback to physicians and coders.
• Proficient in EHRs, billing systems, and related applications.
• Strong analytical skills with expertise in data manipulation and use of data analysis tools.
• In-depth understanding of claims processing, clinical edits, fee schedules, and payer contracts.
• Proficient in Microsoft Office and general PC operations.
• Excellent written and verbal communication skills, with the ability to clearly explain technical reasoning.
• Strong problem-solving skills, with the ability to develop and execute timely action plans.
• Capable of prioritizing and managing high-volume system tasks based on urgency and impact.
• Effective communicator across all organizational levels, including physicians, advanced practice providers, clinical staff, and leadership.

Preferred Qualifications

• Experience in an oncology practice setting is highly preferred.
• Prior experience in initiating and leading performance improvement projects within a medical coding environment.
• Understanding of EHR, Claims Adjudication Systems, Revenue Cycle concepts and data mining tools.

A successful Senior Medical Coding Analyst will…

• Enjoy interacting with a variety of people, making the best of each interaction.
• Be an effective educator and trainer.
• Practice the balance of cooperation and urgency daily
• Develop and unite partnerships with internal and external associates to accomplish better systems and outcomes.
• Create and maintain regular and reliable measures of team performance and success.
• Possess extraordinary critical thinking and organizational skills.
• Be a self-starter who can influence positive change
• Possess unrelenting determination
• Thrive in team environments