[Remote] Senior Coding Data Quality Analyst - Provider Based
Note: The job is a remote job and is open to candidates in USA. Lehigh Valley Health Network is a nationally recognized health organization committed to delivering exceptional healthcare. The Senior Coding Data Quality Analyst will develop and maintain a coding and reimbursement quality management plan, ensuring compliance and quality outcomes through education, monitoring, and auditing activities.ResponsibilitiesConducts formal education and training for staff on policies/procedures, coding guidelines, regulatory requirements, and work processes. Provides feedback and develops educational action plansPerforms code monitoring and auditing activities providing individual, departmental, and topic related results according to established scheduleResearches and responds to coding questions from staffEvaluates the quality of clinical documentation to spot incomplete or inconsistent documentation impacting code selection. Anticipates documentation issues in response to upcoming regulatory updatesMaintains database for internal reporting of quality outcomesEstablishes, implements, and maintains a formalized review process to support coding complianceSkillsAssociate's Degree in health information management program or work experience in a complex coding environment, equivalent to Associates Degree4 years of experience coding/abstracting of complex provider-based patient encountersExpert knowledge of ICD-10CM, HCPCS/CPT coding, modifiers, and reimbursement methodologies (wRVUs)Microsoft Office and presentation skillsCCA - Certified Coding Associate AHIMA - State of Pennsylvania Upon Hire orCCS - Certified Coding Specialist AHIMA - State of Pennsylvania orCCS-P - Certified Coding Specialist-Physician Based AHIMA - State of Pennsylvania orCPC - Certified Professional Coder - State of Pennsylvania orCPC-H-Certified Professional Coder-Hospital AAPC - State of PennsylvaniaBachelor's Degree in health information management program1 year of experience auditing of provider-based coding and1 year of experience in provider-based coder trainingAuditing and trainingKnowledge of medical terminology, anatomy and physiology, pathophysiology, regulatory agency requirements, severity of illness classification, and health care statistics computationCompany OverviewLehigh Valley Health Network, part of Jefferson Health, is proud to be part of a leading integrated academic health care delivery system. It was founded in undefined, and is headquartered in Allentown, Pennsylvania, US, with a workforce of 10001+ employees. Its website is http://www.lvhn.org.