Inpatient Coding Quality Lead – Data Integrity & Revenue

Corewell Health Corporate; United States; Remote; USD 75,000 - 105,000; Full time

Benefits offered by this job

On-demand pay

Discounts directory

Retirement options (Traditional andR ı

Job summary

Corewell Health is seeking a quality assessment professional to oversee internal reviews of inpatient facility coders, ensuring adherence to coding guidelines and policies to support accurate reimbursement and data integrity.

The role focuses on improving physician documentation, reducing variation in coding practices, and providing expert guidance to administrators and physicians on regulatory and financial coding matters.

Qualifications

• Bachelor’s degree in accounting, finance, health care administration, or related field or equivalent combination of education and experience.
• Two years of relevant experience in hospital functions (e.g., professional/facility coding, reimbursement, billing, chargemaster maintenance)
• RHIA, RHIT, CCS, and Professional Coder certifications as required/preferred
• CRT-Coding Specialist (CCS) and RHIA/RHIT certifications by AHIMA/AAPC

Responsibilities

• Meets with providers and coding employees regularly on billing, coding and reimbursement issues.
• Reviews monthly reporting from billing system focusing on revenue cycle metrics, unbilled accounts, and documentation.
• Acts as liaison between Coding and Corewell Health to enhance educational awareness of coding and documentation; participates in quality improvement activities.
• Reviews coding patterns and provides ongoing consultation to providers on coding and documentation.
• Identifies and communicates problems; recommends and implements improvements.
• Presents information to physicians, administrators and institutional leadership.
• Acts as an expert resource for administrators and physicians in regulatory, coding, billing compliance and financial functions.

Education

Bachelor’s degree in accounting, finance, health care administration, or related field or equivalent combination of education and experience

RHIA - AHIMA

RHIT - AAPC

CCS - AHIMA

Professional Coder - AAPC

Job description

Corewell Health is seeking a quality assessment professional to oversee internal reviews of inpatient facility coders, ensuring adherence to coding guidelines and policies to support accurate reimbursement and data integrity.

The role focuses on improving physician documentation, reducing variation in coding practices, and providing expert guidance to administrators and physicians on regulatory and financial coding matters.