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Physician Coding Quality Analyst

Company: Stanford University
Location: Redwood City
Posted on: June 12, 2021

Job Description:

The Department of Pediatrics in the School of Medicine is seeking a Physician Coding Quality Analyst to join the Clinical Finance team to review physician documentation for the appropriate application of CPT/ICD10-CM coding guidelines. Will provide yearly coding updates, new provider training and other physician education as needed.

Duties include:

  • Lead the planning and operations for programs or functions that have significant business, regulatory and/or technical challenges requiring subject matter expertise.
  • Evaluate programs or functions, policies and procedures. Identify issues, and develop alternative solutions which may include changes to programs, policies and procedures.
  • Review and analyze trends to advise and develop recommendations to achieve or modify the goals of the program or function.
  • Represent the program or function within the department, unit or school. Commit resources and provide information and/or training. Represent the program or function at the university level and/or to external/internal stakeholders and constituencies.
  • Manage and contribute to the development of outreach strategy that may include relationship development, communications and compliance
  • Assess training needs and may develop associated training.
  • Auditing and reviewing medical documentation for appropriate CPT coding and documentation
  • Perform training and education to physicians regarding coding and documentation.
  • Analyze trends and provide recommendations to leadership
  • Perform audits of documentation & coding of inpatient and/or outpatient professional fee services;
  • Work with LPCH Revenue Cycle leadership and division faculty to improve efficiency and timeliness of billing sheet submission.
    • Other duties may also be assigned


  • Ability to apply critical thinking skills to coding policy interpretation and implementation
  • Work independently; well-organized and able to set priorities with minimal direction
  • Effectively communicate both verbally and in writing
  • Strong PC skills; Excel, Word, PowerPoint and internet based program


Bachelor's degree and five years of relevant experience, or combination of education and relevant experience.

Active CPC or CCS-P certification required. Additional CPMA certification a plus. Inpatient and Outpatient Evaluation and Management coding proficiency required.


  • Demonstrated ability to establish priorities, manage shifting priorities, and handle numerous time-sensitive projects with multiple deadlines.
  • Ability to accomplish goals working through formal and informal channels, with diplomacy and tactfulness.
  • Demonstrated creativity, problem solving, critical analysis, initiative, judgment and, decision-making skills.
  • Demonstrated ability to develop and meet department goals.
  • Demonstrated solid planning and organizational skills.
  • Demonstrated experience working independently and as part of a team.
  • Excellent interpersonal, written and oral communication skills.
  • Strong relevant subject matter knowledge.


Active CPC or CCS-P certification required. Additional CPMA certification a plus.


  • Constantly perform desk-based computer tasks.
  • Frequently stand/walk, sitting, grasp lightly/fine manipulation.
  • Occasionally use a telephone.
  • Rarely lift/carry/push/pull objects that weigh 11-20 pounds.
    • Consistent with its obligations under the law, the University will provide reasonable accommodation to any employee with a disability who requires accommodation to perform the essential functions of his or her job.


Additional Information

  • Schedule: Full-time
  • Employee Status: Regular
  • Requisition ID: 89042

Keywords: Stanford University, Redwood City , Physician Coding Quality Analyst, Other , Redwood City, California

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