Job Information
Spectrum Health Coding Quality Analyst Remote in Grand Rapids, Michigan
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
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, administrators and other institutional leadership.
Acts as an expert resource for administrators and physicians in regulatory, coding, billing compliance and financial functions.
Qualifications
Required Bachelor's Degree accounting, finance, health care administration, or related field or equivalent combination of education and experience
2 years of relevant experience progressive experience in various hospital functions (e.g., professional/facility coding, reimbursement, billing, and/or chargemaster maintenance) Required
CRT-Registered Health Information Administrator (RHIA) - AHIMA American Health Information Management Association Upon Hire required Or
CRT-Registered Health Information Technician (RHIT) - AAPC American Academy of Professional Coders Upon Hire required Or
CRT-Coding Specialist (CCS) - AHIMA American Health Information Management Association Upon Hire required Or
CRT-Professional Coder - AAPC American Academy of Professional Coders Upon Hire required
This team is open to considering applicants that will work remotely from the State of Michigan
Primary Location
SITE - Business Service Center - 4420 44th St - Grand Rapids
Department Name
Coding - Quality
Employment Type
Full time
Shift
Day (United States of America)
Weekly Scheduled Hours
40
Hours of Work
8 a.m. to 5 p.m.
Days Worked
Monday to Friday
Weekend Frequency
N/A
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Spectrum Health is committed to providing a safe environment for our team members, patients, visitors and community. That is why we require a drug-free workplace and various vaccinations as a requirement for employment.Spectrum Health grants equal employment opportunity to all qualified persons without regard to race, color, national origin, sex, disability, age, religion, genetic information, marital status, height, weight, gender, pregnancy, sexual orientation, gender identity or expression, veteran status, or any other legally protected category.An interconnected, collaborative culture where all are encouraged to bring their whole selves to work, is vital to the health of our organization. As a health system, we advocate for equity as we care for our patients, our communities, and each other. From workshops that develop cultural intelligence, to our inclusion resource groups for people to find community and empowerment at work, we are dedicated to ongoing resources that advance our values of diversity, equity, and inclusion in all that we do. We invite those that share in our commitment to join our team.If you are a qualified individual with a disability, you may request assistance in completing the application process by calling 616.486.7447. We are committed to granting reasonable accommodations in accordance with applicable laws.
