What are the responsibilities and job description for the Senior Coding Data Quality Analyst – Provider Based position at HealthEcareers - Client?
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Summary
Develops, implements, and maintains a coding and reimbursement quality management plan at the network level. Utilizes output for financial and billing purposes to meet licensure requirements, network quality initiatives, statistics, and for public hospital and physician reporting.
Job Duties
- Conducts formal education and training for staff on policies / procedures, coding guidelines, regulatory requirements, and work processes. Provides feedback and develops educational action plans.
- Performs code monitoring and auditing activities providing individual, departmental, and topic related results according to established schedule.
- Researches and responds to coding questions from staff.
- Evaluates the quality of clinical documentation to spot incomplete or inconsistent documentation impacting code selection. Anticipates documentation issues in response to upcoming regulatory updates.
- Maintains database for internal reporting of quality outcomes.
- Establishes, implements, and maintains a formalized review process to support coding compliance.
Minimum Qualifications
Preferred Qualifications
Physical Demands
Lift and carry 25 lbs. frequent sitting / standing, frequent keyboard use,
Job Description Disclaimer : This position description provides the major duties / responsibilities, requirements and working conditions for the position. It is intended to be an accurate reflection of the current position, however management reserves the right to revise or change as necessary to meet organizational needs. Other responsibilities may be assigned when circumstances require.
Lehigh Valley Health Network is an equal opportunity employer. In accordance with, and where applicable, in addition to federal, state and local employment regulations, Lehigh Valley Health Network will provide employment opportunities to all persons without regard to race, color, religion, sex, age, national origin, sexual orientation, gender identity, disability or other such protected classes as may be defined by law. All personnel actions and programs will adhere to this policy. Personnel actions and programs include, but are not limited to recruitment, selection, hiring, transfers, promotions, terminations, compensation, benefits, educational programs and / or social activities.
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