Hospital Coding Data Strategist

MedStar Health

United States

On-site

USD 72,000 - 136,000

Full time

10 days ago

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Job summary

MedStar Health is seeking a Coding Revenue Cycle Data Analyst to analyze and report on revenue cycle performance, supporting operational efficiency and financial optimization across the organization. The role partners with Revenue Cycle Operations, Coding, CDI, HIM, and Quality to identify trends and improve documentation and coding outcomes.

You will develop dashboards and executive reports using Power BI, Tableau, Epic, Solventum, and Excel to monitor KPIs such as denials, DRG shifts, SOI/ROM,

Qualifications

  • Bachelor’s degree in Health Information Management or related field.
  • Master’s degree preferred.
  • 3-4 years healthcare coding, HIM, CDI analytics experience.
  • 1-2 years inpatient/outpatient coding operations experience.
  • 1-2 years coding audits and reimbursement analytics.
  • 1-2 years working with healthcare data systems and reporting platforms.

Responsibilities

  • Contributes to the achievement of established department goals and objectives and adheres to department policies, procedures, quality standards and safety standards.
  • Validates data integrity across reporting systems and ensures accuracy, consistency and reliability of all coding-related data outputs.
  • Analyzes coding accuracy, productivity, reimbursement, and quality performance metrics.
  • Monitors and trends coding-related KPIs including: DNFB, denial trends, coding productivity and accuracy, audit findings, DRG shifts, case mix index, severity of illness, ROM, query rates and outcomes, coding turnaround times, physician documentation trends, CC/MCC capture rates and quality measure impacts.
  • Develops and maintains coding dashboards, scorecards, operational reports, and executive reporting tools to support leadership decision-making.
  • Creates visualizations and dashboards using Power BI, Tableau, Epic reporting tools, Solventum reporting tools and Excel.
  • Utilizes advanced analytics to forecast trends, identify risk areas and support proactive operational planning.
  • Identifies coding trends, documentation gaps, compliance risks and opportunities for operational improvement.
  • Supports internal and external coding audit programs through data collection, analysis and reporting.
  • Supports denial prevention and recovery initiatives by performing root cause analysis related to coding denials, reimbursement variances and audit findings.
  • Participates in revenue cycle optimization projects and system implementations.
  • Analyzes the impact of coding and documentation on reimbursement, quality scores and public reporting metrics.
  • Participates in multi-disciplinary quality and service improvement teams.

Skills

Verbal & written communication
Analytical thinking
Data interpretation
EMR systems knowledge
MS-DRG/APR-DRG knowledge
ICD-10-CM/PCS knowledge
CPT/HCPCS coding
Regulatory knowledge
Quality reporting
Problem solving

Education

Bachelor's degree in Health Information Management
Bachelor's degree in Healthcare Administration
Bachelor's degree in Data Analytics
Bachelor's degree in Business Administration
Bachelor's degree in Health Informatics
Bachelor's degree in Finance
Master's degree preferred

Tools

Power BI
Tableau
Epic reporting tools
Solventum
Excel

Job description

MedStar Health is seeking a Coding Revenue Cycle Data Analyst to analyze and report on revenue cycle performance, supporting operational efficiency and financial optimization across the organization. The role partners with Revenue Cycle Operations, Coding, CDI, HIM, and Quality to identify trends and improve documentation and coding outcomes.

You will develop dashboards and executive reports using Power BI, Tableau, Epic, Solventum, and Excel to monitor KPIs such as denials, DRG shifts, SOI/ROM,

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