Outpatient/Inpatient Coding Audit Analyst - REMOTE
Requisition #: 59467
Total hours worked per week: 40
Total hours worked per week: 40
Description
***RHIT/RHIA CERTIFICATION REQUIRED.
Find more than your next job. Find your community.
Find more than your next job. Find your community.
- We’re northern Michigan’s largest healthcare system and we are deeply rooted in the communities we serve. That means that our patients are often our family, friends and neighbors – and it’s special to be able to care for them. And as one of the top healthcare systems to work for in Michigan by Forbes (American’s Best Employers by State 2022), we’re committed to your ongoing growth and development.
- After work, you’ll find things to do in every season – beaches, outdoor recreation, unique restaurants, world-class wineries, arts and entertainment.
Summary:
The Coding Data Quality Analyst (CDQA) plays a crucial role in ensuring the accuracy and completeness of encoded data used for hospital reimbursement, clinical quality and administrative reporting for Munson Healthcare system hospitals.
The CDQA is a medical coding professional who works to prevent reimbursement denials by participating in the responses to third party payers regarding overpayment disputes related to clinical documentation, code assignment, medical necessity, and modifier issues. This role is key to protecting reimbursement and minimizing organizational write offs.
The CDQA works to ensure payment integrity by conducting comprehensive reviews of medical record documentation and subsequent coding for accuracy and completeness. This position assists the Data Quality Coordinator in conducting coding audits, maintaining related statistics, identifying trends and making recommendations for improvements. The CDQA effectively uses abstracting databases, internal and external audit results, various federal or State quality reports, and revenue cycle edit/denial information.
A perpetual student of ever-changing healthcare coding rules and clinical documentation improvement practices, the CDQA stays abreast of dynamic changes to proactively prevent errors and financial penalties from occurring and assists the Data Quality Coordinator with developing recommendations and education proposals related to the changes.
As a member of the Department’s Leadership team, this position requires effective interaction with both Coding and CDI staff and different levels of management. The CDQA works closely with the Coding/CDI Physician Advisor, Regional Coding Manager, Coding/CDI Educator, individual medical staff members, Coder/Abstractors, CDI Specialists, Business Office staff, and Clinical Department management in resolving questions relative to coding, documentation and denials.
This position requires independent decision making on a routine basis. There is significant latitude to investigate technical problems and to take independent action based on the findings.
Why work as a Coding Data Quality Analyst at Munson Healthcare?
- The Data Quality team at Munson stands out for its unique approach to work. While they operate with a high degree of autonomy, they do so within a dynamic environment that encourages collaboration and camaraderie. This blend of independence and teamwork allows members to excel in their individual roles while benefiting from a collective synergy resulting in a truly exceptional work experience.
- The work environment is supportive, promoting both personal and professional growth. The flexibility and remote work options ensure a work life balance that suits diverse lifestyles.
- Our employees work in positive, supportive, and compassionate environments built on our organizational values.
What’s Required:
- This position requires an Associate’s Degree in Health Information Technology, or a Bachelor’s Degree in Health Information Management.
- Current certification as a Registered Health Information Administrator (RHIA) or Registered Health Information Technician (RHIT) is required.
- Requires a minimum of three years coding experience in a hospital setting.
- Experience with Microsoft Office spreadsheet and database software is required.
- Must possess strong analytical and interpretive skills, with a propensity for thoroughness and detail.
- Excellent verbal and written communication and organizational skills required
The Benefits of Working at Munson:
- Competitive salaries
- Full benefits, paid holidays, and paid time off (up to 19 days your first year)
- Tuition reimbursement and ongoing educational opportunities
- Retirement savings plan with employer match and personal consulting
- Wellness plans, an employee assistance program and employee discounts
*Terms and conditions apply