Coding Quality Analyst

University of Texas Southwestern Medical Center • Dallas, TX

32d • Remote

About The Position

The Coding Quality Analyst reviews medical records to validate the completion of all coding audit workflows. Analyze audit findings coded health information records to evaluate the quality of coding and abstracting, verifying accuracy and appropriateness of assigned diagnostic and procedure codes, as well as other abstracted data, such as POA, discharge disposition, etc.. Ensure accurate assignment of all risk adjustment variables. The Coding/Quality Analyst will assist the Supervisor by tracking and trending front-end activities that influence coding audit workflows, identifying opportunities for workflow efficiencies and optimization to support quality initiatives and financial performance. This role will collaborate with the Coding, CDI and the DRG Denials Teams.

Requirements

• 3 years Acute Hospital-Based Coding experience
• An equivalent combination of education and experience may be considered
• Experience working in a remote environment.
• (RHIT) REGD HEALTH INFO TECHNOLO or
• (RHIA) REGD HEALTH INFO ADMINIST or
• (CCS) CERT CODING SPECIALIST AHIMA Certified Coding Specialist or
• CIC) AAPC Certified Inpatient Coder

Nice To Haves

• Associate's Degree or
• Bachelor's Degree in Health Information Management, or a closely related field or
• 5 years of related experience
• Experience in an Academic Medical Center

Responsibilities

• Ensure Vizient risk adjustment variables have been assigned in final code set
• Make corrections as appropriate
• Ensure coding change recommendations and relative processes are completed in all systems, 3M, Epic, eValuator
• Ensure all valid coding audit recommendations are assigned in final code set
• Make corrections as appropriate
• Validate abstracted data, Present on Admission (POA), discharge disposition (DD), point of origin (PoO), Admit Type, and other abstracted data
• Make corrections as appropriate
• Track and report Coder non-compliance to the Manager
• Analyze and effectively identify audit findings, (eValuator, QRN, DRG Validation, and Accuity, for relevant educational opportunities and report to the Coding Manager
• Support all coding audit workflows
• Support process improvement to ensure effective/efficient workflows
• Identify front-end activities that influence workflows
• Promptness of task completion is essential to ensure timely movement through all audit levels to billing
• Support the Quality Standards set by UTSW and the HIM Coding & CDI Department.
• Maintain an expert level of knowledge of Coding guidelines and practices
• Other duties as assigned

Benefits

• PPO medical plan, available day one at no cost for full-time employee-only coverage
• 100% coverage for preventive healthcare-no copay
• Paid Time Off, available day one
• Retirement Programs through the Teacher Retirement System of Texas (TRS)
• Paid Parental Leave Benefit
• Wellness programs
• Tuition Reimbursement
• Public Service Loan Forgiveness (PSLF) Qualified Employer

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Industry: Educational Services
• Education Level: Associate degree
• Number of Employees: 5,001-10,000 employees