Note: The job is a remote job and is open to candidates in USA. Corewell Health is a nationally recognized health system committed to delivering personalized health care. The Coding Quality Analyst acts as a liaison between various departments, conducting coding quality reviews and providing consultation on coding and documentation issues.
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 Spectrum 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
- Processing pended claims and provider appeals, which consists of reviewing medical records and using various coding resources to confirm correct coding
Skills
- Bachelor's Degree accounting, finance, health care administration, or related field or equivalent combination of education and experience
- 2 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 Upon Hire required
- CRT-Registered Health Information Technician (RHIT) - AAPC American Academy of Professional Coders Upon Hire required
- CRT-Coding Specialist (CCS) - AHIMA American Health Information Management Association Upon Hire required
- CRT-Professional Coder - AAPC American Academy of Professional Coders Upon Hire required
- Knowledge of CPT, HCPCS, CMS claim formats (1450 and HCFA 1500)
- Knowledge of with Microsoft (Word, Excel, Visio, OneNote, etc.)
Benefits
- Comprehensive benefits package to meet your financial, health, and work/life balance goals. Learn more here.
- 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
- Traditional and Roth retirement options with service contribution and match savings
- Eligibility for benefits is determined by employment type and status
Company Overview