Coding Edit Analyst
Inova Health System•United States,
•$30 - $50•Remote
About The Position
Inova Health is looking for a dedicated Coding Edit Analyst to join the team. This position is eligible for remote work for candidates residing in VA, MD, DC, DE, FL, GA, NC, OH, PA, SC, TN, TX, WV. Inova is consistently ranked a national healthcare leader in safety, quality and patient experience. We are also proud to be consistently recognized as a top employer in both the D.C. metro area and the nation.
Requirements
- High School diploma or GED
- Five years of experience in either a coding or billing role.
- One of the following coding credentials: RHIA, RHIT, CCS, CPC, CPC-H.
Nice To Haves
- HB Outpatient coding experience needed
- Strong critical thinking/problem solving skills
Responsibilities
- Investigates and resolves coding edits for inpatient and outpatient hospital encounters.
- Ensures accurate and complete assignment of modifiers, CPT codes, and ICD-10-CM diagnosis codes that are supported by medical record documentation.
- Analyzes coding edit review findings and makes recommendations to HB Coding Operations leadership in order to improve documentation, encounter flow and accuracy.
- Reviews denial trends for documentation and coding opportunities and provides feedback on educational gaps.
- Performs appropriate analytics as daily work queue management functions are performed.
- Performs verification of coded data for accuracy and completeness.
- Partners with the Billing team counterparts to determine how account errors related to coding are resolved for purposes of accurate billing of claims according to regulatory requirements.
- Reviews applicable Centers for Medicaid & Medicare Services transmittals, National Coverage Decisions, and Local Coverage Decisions.
- Reviews denial trends for documentation/coding opportunities and provides feedback on educational gaps.
Benefits
- medical, dental and vision coverage
- a robust team member wellness program
- Inova matches the first 5% of eligible contributions
- up to $5,250 per year in education assistance
- up to $10,000 for student loans
- 25 mental health coaching or therapy sessions, per person, per year, at no cost
- paid time off
- paid parental leave
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
High school or GED
