Senior Risk Analyst Jobs in Rochester, NY (NOW HIRING)

At UK King's Daughters, we're not just a healthcare facility - we're a family of dedicated professionals who share a passion for making a meaningful difference in the lives of our patients. We're more than just a place to work; we're a place to grow, thrive, and contribute to our community.

Job Description:

Responsible for leading advanced coding compliance and education activities to ensure accuracy, integrity, and adherence to regulatory standards across the organization. Provides expertise in auditing medical records, analyzing coding practices, and identifying compliance risks. Ensures alignment with CMS, OIG, and payer guidelines by developing corrective action plans and conducting targeted reviews. Develops and delivers education programs to coding staff and providers to improve documentation, accuracy, and regulatory compliance. Coordinates with compliance, revenue cycle, and clinical teams to drive continuous improvement in coding quality and organizational performance.

Conducts advanced coding audits to ensure accuracy, completeness, and compliance with federal, state, and payer regulations.

Identifies coding compliance risks and develops corrective action plans in collaboration with leadership.

Designs and delivers education programs for coding staff, providers, and clinical teams to improve documentation and coding accuracy.

Reviews audit results, prepares detailed reports, and communicates findings with recommendations for improvement.

Monitors regulatory updates and payer requirements to ensure policies and practices remain current.

Provides subject matter expertise in coding compliance during investigations, appeals, and regulatory reviews.

Collaborates with revenue cycle, compliance, and clinical documentation improvement (CDI) teams to resolve complex coding issues.

Develops and maintains coding compliance policies, procedures, and training materials.

Mentors junior coding compliance staff and supports their professional development.

Performs other duties as assigned.

Education Requirement: Bachelor's degree

Experience Requirement: 5+ years of experience

An equivalent combination of education and experience may be considered. All experience must be paid and in the same related field. Part-time and PRN experience will be prorated based on hours worked per week. Volunteer work and internships for academic credit are not counted.

Certifications & Licensures: RHIA Certification, CPMA, CCDS, Certified Coding Specialist (CCS) or Certified Professional Coder (CPC) required. An equivalent combination of education and experience may be considered. All experience must be paid and in the same related field. Part-time and PRN experience will be prorated based on hours worked per week. Volunteer work and internships for academic credit are not counted.

A. Lifting, pushing, and/or pulling objects up to 50lbs:2. Occasional (< 10% of the time)

B. Lifting, pushing, and/or pulling objects over 50lbs:1. Never

C. Standing or walking with objects up to 10lbs:3. Intermittent (10% - 50% of the time)

D. Standing or walking with objects up to 25lbs:2. Occasional (< 10% of the time)

E. Sitting at the computer workstation for extended periods:3. Intermittent (10% - 50% of the time)

F. Risk of back injury from moving, lifting or positioning patients, equipment, or materials:2. Occasional (< 10% of the time)

G. Repetitive motion:3. Intermittent (10% - 50% of the time)

H. Working at heights above 4 feet:1. Never

I. Working in confined spaces:1. Never

J. Risk of injuries from use of equipment on the job:2. Occasional (< 10% of the time)

K. Job-related travel:2. Occasional (< 10% of the time)

L. Loud noises:1. Never

M. Temperature extremes:1. Never

N. Hazardous chemicals and fumes including waste:2. Occasional (< 10% of the time)

O. Radiation:1. Never

P. Burns:1. Never

Q. Cuts/Punctures:2. Occasional (< 10% of the time)

R. Bloodborne/airborne pathogens:2. Occasional (< 10% of the time)

S. Recombinant DNA or viral vectors:1. Never

T. Combative/violent people:1. Never

U. Animal handling (including carcasses):1. Never

V. Please specify other(s) and amount of exposure (i.e. Occasional, Intermittent or Regular): N/A

This position requires intermittent sitting at a computer workstation for extended periods of time; performing tasks with repetitive motions (such as typing); intermittent standing or walking with objects weighing up to 10 pounds; occasional standing or walking with objects weighing up to 25 pounds; and occasional lifting, pushing, or pulling objects weighing up to 50 pounds.

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