Status (FT/PT): Full-Time
Shift: Day shift
Req ID: 57390
***RHIT/RHIA CERTIFICATION REQUIRED.
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The Coding Data Quality Analyst (CDQA) plays a crucial role in ensuring the accuracy and completeness of encoded data used for hospital reimbursement, clinical quality and administrative reporting for Munson Healthcare system hospitals.
The CDQA is a medical coding professional who works to prevent reimbursement denials by participating in the responses to third party payers regarding overpayment disputes related to clinical documentation, code assignment, medical necessity, and modifier issues. This role is key to protecting reimbursement and minimizing organizational write offs.
The CDQA works to ensure payment integrity by conducting comprehensive reviews of medical record documentation and subsequent coding for accuracy and completeness. This position assists the Data Quality Coordinator in conducting coding audits, maintaining related statistics, identifying trends and making recommendations for improvements. The CDQA effectively uses abstracting databases, internal and external audit results, various federal or State quality reports, and revenue cycle edit/denial information.
A perpetual student of ever-changing healthcare coding rules and clinical documentation improvement practices, the CDQA stays abreast of dynamic changes to proactively prevent errors and financial penalties from occurring and assists the Data Quality Coordinator with developing recommendations and education proposals related to the changes.
As a member of the Department’s Leadership team, this position requires effective interaction with both Coding and CDI staff and different levels of management. The CDQA works closely with the Coding/CDI Physician Advisor, Regional Coding Manager, Coding/CDI Educator, individual medical staff members, Coder/Abstractors, CDI Specialists, Business Office staff, and Clinical Department management in resolving questions relative to coding, documentation and denials.
This position requires independent decision making on a routine basis. There is significant latitude to investigate technical problems and to take independent action based on the findings.
Why work as a Coding Data Quality Analyst at Munson Healthcare?
The Benefits of Working at Munson:
*Terms and conditions apply