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 among various departments to ensure effective coding practices and compliance, while conducting quality reviews and providing education to enhance coding awareness.

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

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