Inpatient Facility Coding Quality Analyst

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

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 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

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 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 inspire hope. Join a nationally recognized health system with an ambitious vision of continued advancement and excellence.

How Corewell Health 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 - 4700 60th St SE - Grand Rapids

Department Name

Hospital Coding Quality - Corporate

Employment Type

Full time

Shift

Day (United States of America)

Weekly Scheduled Hours

40

Hours of Work

variable

Days Worked

Monday to Friday

Weekend Frequency

N/A

Corewell Health is committed to providing a safe environment for our team members, patients, visitors, and community. We require a drug-free workplace and require team members to comply 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 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.

Corewell Health grants equal employment opportunity to all qualified persons without regard to race, color, national origin, 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 all are encouraged to bring their whole selves to work, is vital to the health of our organization. As a health system, we advocate for equity as we care for our patients, our communities, and each other. From workshops that develop 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 all that we do. We invite those that share in our commitment to join our team.

You may request assistance in completing the application process by calling 616.486.7447.