Coding Resolution Analyst (Full Time)

About North Country Healthcare (NCH):

North Country Healthcare is a non-profit affiliation of four medical facilities, Androscoggin Valley Hospital, North Country Home Health & Hospice Agency, Upper Connecticut Valley Hospital, and Weeks Medical Center, located in the White Mountains Region of New Hampshire. NCH includes numerous physicians and medical providers at multiple locations. This leading comprehensive healthcare network which employs hundreds of highly-trained individuals delivers integrated patient care through three community hospitals, specialty clinics, and home health and hospice services. NCH remains committed to the health and well-being of the communities we serve. As a valued team member this role emphasizes advancing High-Reliability Organization (HRO) principles, embedding a culture of safety, accountability, and consistent high performance.

POSITION SUMMARY:

Adhering to System Values, Service Excellence and Standards of Behavior, The Revenue Cycle Coding Resolution Analyst is responsible for identifying, analyzing, and resolving barriers that prevent medical records from being coded and finalized. This role performs detailed root cause analysis across the revenue cycle from documentation and clinical workflows to coding and billing processes. The analyst partners with hospital and clinical departments to address issues, improve documentation quality, reduce delays, and optimize revenue cycle performance.

ESSENTIAL QUALIFICATIONS

Education:

HS Diploma, GED or Successful Completion of an accredited program through AHIMA or AAPC with certification

Certification:

• CCA or CCS certified

• All employees and contracted staff will have either successful completion of an American Heart Association* accredited course in Basic Life Support (BLS), or ACLS and PALS combined. (for clinical staff), Heartsaver CPR AED (for nonclinical staff), and renewal on a regular basis.

• Refer to the NCH Life Support Certification Policy for position specific requirements.

Licensure:

• Not applicable.

Skills:

• Is responsible for ongoing development of his/her work skills, Educated in CDI, able to multi-task, able to identify workload priorities and assign appropriately.

Work Experience:

• Not applicable

ESSENTIAL FUNCTIONS:

• Provides guidance and workflow updates for the coding team.

• Root cause analysis of coding delays. Investigates why charts are not coded or finalized by analyzing workflows.

• Work Queue Monitoring. Aging accounts, identify trends on stalled accounts, reach out to departments.

• Barrier Identification. Identify common barriers such as incomplete documentation, physician queries, system edits, or missing charges.

• Cross Department collaboration. Partner with coding, processors, billing, case management, and clinical departments to resolve chart completion issues.

• Documentation Improvement. Work with providers and EDM teams to improve clinical documentation that supports accurate and timely coding.

• Denial Prevention. Analyze coding-related delays that may lead to denials and implement proactive solutions.

• Workflow analysis. Map current workflows to identify breakdowns between departments and recommend improvements.

• Resolution Coordination. Track and follow up on unresolved accounts to ensure timely closure and escalation when needed.

• Reporting. Review reports, highlight coding delays, root causes and resolution outcomes.

• Policy & Compliance Alignment. Ensure all resolution efforts align with coding guidelines, regulatory standards and organizational policies.

• Continuous Improvement Initiatives. Assist and support initiatives to reduce DNFB and improve coding turnaround times with the outcomes from departmental collaboration

• Maintains cooperative relationships with various colleagues, demonstrating ability to handle difficult situations, through an approach that reflects consistency and fairness

• Position requires travel to all three NCH facilities and is back up to NCH processors

• Performs additional duties as assigned.

North Country Healthcare is committed to providing equal employment opportunities to all applicants and employees. North Country Healthcare and its affiliates do not exclude people or treat them differently because of race, color, national origin, age, disability or any other protected class. Employment decisions are made based on job‑related qualifications, skills, and business needs, and without unlawful discrimination in accordance with applicable federal, state, and local laws.

North Country Healthcare provides reasonable accommodation to qualified individuals with disabilities and to individuals with sincerely held religious beliefs, as required by law. Applicants who require reasonable accommodation to complete the application process, participate in interviews, or undergo pre‑employment testing should contact NCHRecruiting@northcountryhealth.org.