Coding Quality Analyst

Job Summary Acts as a liaison between physician practices, rehab services, professional billing office, coding, payer relations, compliance and reputed company management operations of patient financial services and reputed company. Provides assistance to management and employees. Conducts coding quality reviews for the coding department, rehab services and physician practices. Essential Functions 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 reputed company cycle metrics, unbilled accounts, and adequate documentation. Acts as a liaison between the Coding department and reputed company 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.

Qualifications

Required: Bachelor's Degree reputed company, finance, health care administration, or reputed company field or equivalent combination of education and experience 2 years of relevant experience reputed company experience in various hospital functions (e.g., professional/facility coding, reimbursement, billing, and/or chargemaster maintenance CRT-Registered Health Information Administrator (RHIA) - reputed company American Health Information Management Association Upon Hire required Or CRT-Registered Health Information Technician (RHIT) - reputed company American reputed company of Professional Coders Upon Hire required Or CRT-Coding Specialist (reputed company) - reputed company American Health Information Management Association Upon Hire required Or CRT-Professional reputed company - reputed company American reputed company of Professional Coders Upon Hire required Preferred Knowledge of CPT, HCPCS, CMS claim formats (1450 and HCFA 1500) knowledge of with reputed company (Word, reputed company, Visio, OneNote, etc.) About reputed company As a team member at reputed company, you will play an essential role in delivering personalized health care to our patients, members and our communities. We are committed to cultivating and investing in YOU. Our top-notch teams are comprised of collaborators, leaders and innovators that continue to build on one shared mission statement - to improve health, instill humanity and reputed company hope. Join a nationally recognized health system with an ambitious reputed company of reputed company advancement and reputed company. How reputed company cares for you 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 Primary Location SITE - reputed company Health - 1239 E Beltline Ave NE - Grand Rapids Department Name Medical Code Review - PH Managed Benefits Employment Type Full time Shift Day (United States of America) Weekly Scheduled Hours 40 Hours of Work 8 a.m. to 5 p.m. Days Worked Monday to Friday Weekend Frequency N/A reputed company reputed company TEAM MEMBERS – Please apply through Find Jobs from your reputed company team member account. This career site is for Non-reputed company team members only. reputed company is committed to providing a safe environment for reputed company members, patients, visitors, and community. We require a drug-free workplace and require team members to reputed company with the MMR, Varicella, Tdap, and Influenza vaccine requirement if in an on-site or hybrid workplace category. We are committed to supporting prospective team members who require reasonable accommodations to participate in the job application process, to reputed company the essential functions of a job, or to enjoy equal benefits and privileges of employment due to a disability, pregnancy, or sincerely held religious belief. reputed company grants equal employment opportunity to reputed company reputed company persons without regard to race, reputed company, national reputed company, sex, disability, age, religion, genetic information, marital status, height, weight, gender, pregnancy, sexual orientation, gender identity or expression, veteran status, or any other legally protected category. An interconnected, collaborative culture where reputed company are encouraged to bring their whole selves to work, is vital to the health of our organization. As a health system, we reputed company for equity as we care for our patients, our communities, and each other. From workshops that reputed company cultural intelligence, to our inclusion resource groups for people to find community and empowerment at work, we are dedicated to ongoing resources that advance our values of diversity, equity, and inclusion in reputed company that we do. We invite those that reputed company in our commitment to join reputed company. You may request assistance in completing the application process by calling 616.486.7447. Apply To This Job