Coding Quality Analyst

About the Role

Acts as a liaison between physician practices, rehab services, professional billing office, coding, payer relations, compliance, and revenue management operations of patient financial services and Spectrum Health. Provides assistance to management and employees. Conducts coding quality reviews for the coding department, rehab services, and physician practices.

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.

Requirements

• Bachelor's Degree in accounting, finance, health care administration, or related field or equivalent combination of education and experience.
• 2 years of relevant experience with progressive experience in various hospital functions (e.g., professional/facility coding, reimbursement, billing, and/or chargemaster maintenance).
• One of the following certifications required upon hire:
  • Registered Health Information Administrator (RHIA) - AHIMA (American Health Information Management Association)
  • Registered Health Information Technician (RHIT) - AAPC (American Academy of Professional Coders)
  • Coding Specialist (CCS) - AHIMA (American Health Information Management Association)
  • Professional Coder (CPC) - AAPC (American Academy of Professional Coders)

About Corewell Health

As a team member at Corewell Health, you will play an essential role in delivering personalized health care to our patients, members, and 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 inspire hope. Join a nationally recognized health system with an ambitious vision of continued advancement and excellence.

Benefits

• Comprehensive benefits package to meet your financial, health, and work/life balance goals.
• On-demand pay program powered by Payactiv.
• Discounts directory with deals on 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.

Schedule

• Full time, day shift (flexible: 7 a.m. to 5 p.m.).
• 40 weekly scheduled hours.
• Days worked: Monday to Friday.
• Weekend frequency: N/A.

Primary Location: SITE - Priority Health - 1239 E Beltline Ave NE - Grand Rapids