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Coding Edits Analyst

Hospital Coding

 

Address   Franciscan Alliance
    Any
    Work From Home, Any 0

Hours  Days

Calendar  Full-Time; 40.00/week

Education Bachelor's Preferred

WHAT WE NEED

Detail-oriented, problem-solving coding edits analyst

WHO WE ARE LOOKING FOR

Good learners.  Accurate reviewers. Our health information coding analysts are an important part of the health information team. Ensuring development and implementation of coding strategies across the system is a big part of the job. The other part? Being able to follow state and federal compliance regulations.  Policy and procedure development, standardization of coding operations, analyzing the coding DNB and data trends of contribution factors across the system.  This job has it all.

 

Are you timely and accurate? Are you detail-oriented? Do you love knowing that you’re an integral part of the team? We’ve got a great place to put your skills to work.

WHAT YOU WILL DO

  • Facilitate generation, interpretation, analysis and dissemination of information related to coding metrics, quality, productivity, and compliance activities.
  • Resource to regional HIM leadership and Corporate Coding Manager for projects, committees and activities related to coding.
  • Monitor DNB and escalate aged accounts to coding management according to the escalation policy.  Identify performance improvement opportunities and workflow changes to improve DNB.
  • Prepare reports and analyze data to identify trends when requested by management staff (DNB, Coding Flags, Productivity).
  • Provide data to the Coding Supervisor to investigate coding denials.
  • Perform workload analysis to prioritize daily work.
  • Provide data to the coding management team to coordinate contract coding needs.
  • Monitor EPIC change alerts for potential workflow or EPIC build that might impact coding.
  • Respond to detailed customer questions/inquiries.
  • Maintain standardized corporate coding policy and procedures, coding compliance plans and operational workflows.
  • Identify and report deviation to standardized workflow.
  • Provide coding expertise to align with regional and corporate strategic plans and goals.
  • Maintain expertise in coding by keeping current with regulatory requirements.
  • Identify and implement process improvements to decrease costs and improve service for applicable stakeholders.
  • Serve as a liaison to CBO for coding inquiries (manage work queues, review patient questions)
  • EPIC CT trained in Coding and HIM.
  • Coordinate communication with Information Technology management to ensure optimal use of installed technology and identification of future needs for coding services.
  • Identify and coordinates changes to any coding software tools such as CAC, encoder, EPIC, coding professional resources and PWC SMART system.
  • Provide input specific to coding needs for regional planning of new department software build.

WHAT IT TAKES TO SUCCEED

  • High attention to detail.
  • Strong organizational and analytical skills.
  • Thorough understanding of updates from intermediaries, carriers, consultants, vendors, government agencies, third party payers, organizations, to ensure proper documentation, coding and compliance
  • Knowledge of coding guidelines, medical terminology, anatomy/physiology, reimbursement schemes, payer specific guidelines.
  • Excellent communication skills with all internal and external customers.
  • Strong presentation skills.
  • Proven success in a collaborative environment with multi-facility experience.


WHAT WE'RE LOOKING FOR

 

Experience: 3 years Acute Coding Required, 3 years Coding Analysis/ Editing Preferred

License(s):

Certification(s): CCS Required, RHIT or RHIA Preferred

Travel: Never or Rarely

 

EQUAL OPPORTUNITY EMPLOYER

It is the policy of Franciscan Alliance to provide equal employment to its employees and qualified applicants for employment as otherwise required by an applicable local, state or Federal law.

Franciscan Alliance reserves a Right of Conscience objection in the event local, state or Federal ordinances that violate its values and the free exercise of its religious rights.

Franciscan Alliance is committed to equal employment opportunity.

BILLING & HEALTH INFORMATION ​​​​


Job Segment: Physiology, Medical, EMR, Medical Coding, Healthcare