Coding Quality Analyst

Corewell Health • Grand Rapids, MI

8d • Onsite

About The Position

Performs internal quality assessment reviews and education (as needed/identified) on all applicable Corewell Health Inpatient Facility coders to ensure adherence to the Coding Quality Plan, Official Coding Guidelines, coding policies for complete, accurate and consistent coding that result in appropriate reimbursement and data integrity. Works to improve the accuracy, integrity, and quality of patient data, to ensure minimal variation in coding practices and improve the quality of physician documentation within the body of the medical record to support code assignments.

Requirements

• Bachelor’s degree accounting, finance, health care administration, or related field or equivalent combination of education and experience.
• Two years of relevant experience progressive experience in various hospital functions (e.g., professional/facility coding, reimbursement, billing, and/or chargemaster maintenance)
• CRT-Registered Health Information Administrator (RHIA) - AHIMA American Health Information Management Association
• CRT-Registered Health Information Technician (RHIT) - AAPC American Academy of Professional Coders
• CRT-Coding Specialist (CCS) - AHIMA American Health Information Management Association
• CRT-Professional Coder - AAPC American Academy of Professional Coders

Responsibilities

• Meets with providers and coding employees regularly on billing, coding and reimbursement issues applicable to their specialty.
• Reviews monthly reporting from billing system with a focus on revenue cycle metrics, unbilled accounts, and adequate documentation.
• Acts as a liaison between the Coding department and Corewell Health to enhance educational awareness of coding and documentation.
• Participates and initiates process and quality improvement activities.
• Reviews coding patterns/trends and provides ongoing consultation to providers regarding coding and documentation issues.
• Proactively identifies and communicates problems and opportunities; actively recommends and implements solutions or process improvements.
• Presents information to physicians, administrators and other institutional leadership.
• Acts as an expert resource for administrators and physicians in regulatory, coding, billing compliance and financial functions.

Benefits

• Comprehensive benefits package to meet your financial, health, and work/life balance goals.
• On-demand pay program powered by Payactiv
• Discounts directory with deals on the things that matter to you, like restaurants, phone plans, spas, and more!
• Optional identity theft protection, home and auto insurance, pet insurance
• Traditional and Roth retirement options with service contribution and match savings

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level