Corewell Health
InpatientFacilityCodingQualityAnalyst
Neural analysis suggests this role is
optimal for Mid+ candidates.
“Inpatient Facility Coding Quality Analyst at Corewell Health. Skills: process management, cross-functional coordination, vendor/stakeholder management, operational metrics, resource planning, continuous improvement, internal quality assessment reviews, education on coding practices, coding quality plan adherence, official coding guidelines adherence, coding policies adherence, reimbursement optimization, data integrity assurance, physician documentation improvement. Performs internal quality ass”
What You'll Achieve.
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.; 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.
Industry & Context.
Proactively identifies and communicates problems and actively recommends and implements solutions or process improvements.
drug-free workplace, MMR, Varicella, Tdap, and Influenza vaccine requirement if in an on-site or hybrid workplace category, reasonable accommodations to participate in the job application process, to perform 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.
What They're Looking For.
Must Have
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
What You'll Do.
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
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.
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
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.
Presents information to physicians
administrators and other institutional leadership.
How You'll Work.
Team & Collaboration
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.; Meets with providers and coding employees regularly on billing, coding and reimbursement issues applicable to their specialty.; Acts as a liaison between the Coding department and Corewell Health to enhance educational awareness of coding and documentation.; Provides ongoing consultation to providers regarding coding and documentation issues.; 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.
Communication Scope
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.
Process & Methodology
process improvement activities
Full Job Description
Inpatient Facility ## Job Summary 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. ## 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 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. ## Qualifications Required * 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 Ame
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