Senior Coding Data Quality Analyst - Facility Based

Lehigh Valley Health Network • REMOTE IN PENNSYLVANIA, PA

12d • Remote

About The Position

Develops, implements, and maintains a coding and reimbursement quality management plan at the network level. Trains and educates coding and clinical staff. Serves as a coding resource for the organization. Utilizes output for financial and billing purposes to meet licensure requirements, network quality initiatives, and public hospital and physician reporting.

Requirements

• High School Diploma/GED
• 4 years of experience in coding/abstracting of complex patient encounters.
• Microsoft Office and presentation skills.
• Medical terminology, anatomy and physiology, pathophysiology, regulatory agency requirements, severity of illness classification, and health care statistics computation.
• Knowledge of ICD-10-CM/PCS, HCPCs/CPT, modifiers, charge applications, and reimbursement methodologies (DRG, APC).
• Demonstrated leadership and presentation skills.
• CCA - Certified Coding Associate AHIMA - State of Pennsylvania Upon Hire or
• CCS - Certified Coding Specialist AHIMA - State of Pennsylvania or
• CCS-P - Certified Coding Specialist-Physician Based AHIMA - State of Pennsylvania or
• CPC - Certified Professional Coder - State of Pennsylvania or
• CPC-H-Certified Professional Coder-Hospital AAPC - State of Pennsylvania

Nice To Haves

• Associate’s Degree in healthcare related field.
• auditing experience and training background.

Responsibilities

• Performs coding, monitoring, and auditing activities providing individual, departmental, and topic related results according to established schedule.
• Conducts formal education and training for staff on policies/procedures, coding guidelines, regulatory requirements, and work processes. Provides feedback and develops educational action plans.
• Establishes, implements, and maintains a formalized review process to support coding compliance.
• Supports the manager in ensuring the completion of training of new employees and ongoing training of current employees.
• Researches and responds to questions from the coding staff.
• Evaluates the quality of clinical documentation to spot incomplete or inconsistent documentation impacting code selection. Anticipates documentation issues in response to upcoming regulatory updates.
• Maintains database for internal reporting of quality outcomes.
• Demonstrates a clear understanding of purpose and objectives of department by keeping alert on current practices through journals, networking, and continuing education.

What This Job Offers

• Job Type: Full-time
• Career Level: Senior
• Education Level: High school or GED