Coding Quality Analyst

Job description

Job Summary Acts as a liaison between physician practices, rehab services, professional billing office, coding, payer relations, compliance and revenue management operations of patient financial services and Spectrum Health. Provides assistance to management and employees. Conducts coding quality reviews for the coding department, rehab services and physician practices. Essential Functions: How Corewell Health cares for you - 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 Spectrum 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, admin...