Senior Coding Data Quality Analyst

🕒 il y a 1 mois

🔔 Pennsylvania – Distant

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⏰ Temps Plein

🟠 Senior

🧐 Analyste

🦅 Parrain de Visa H1B

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👻 Score fantôme 17%

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🗣️🇺🇸🇬🇧 Anglais requis

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Logo of Lehigh Valley Health Network

Lehigh Valley Health Network

10 000+ employés

🏥 Santé

⚕️ Assurance santé

Healthcare • Healthcare Insurance

Lehigh Valley Health Network est un système de santé global qui fait désormais partie de Jefferson Health, l'un des 15 meilleurs systèmes de santé à but non lucratif aux États-Unis. Il propose une large gamme de services médicaux, y compris les soins primaires, les soins d'urgence et des instituts spécialisés comme le Lehigh Valley Topper Cancer Institute et le Lehigh Valley Heart and Vascular Institute. LVHN offre des solutions de soins complètes, notamment des consultations vidéo, des seconds avis et un réseau de médecins et cliniciens dans de nombreux emplacements. Elle met l'accent sur l'éducation à travers des résidences et des bourses, et privilégie les services axés sur le patient tels que les analyses de laboratoire et les soins de santé pour femmes. Le réseau se concentre également sur l'innovation, offrant des essais cliniques et des thérapies avancées comme la thérapie CAR-T Cell.

Description

• Develops, implements, and maintains a coding and reimbursement quality management plan at the network level. • Trains and educates coding and clinical staff. • Serves as a coding resource for the organization. • Performs coding, monitoring, and auditing activities providing individual, departmental, and topic related results according to established schedule. • Conducts formal education and training for staff on policies/procedures, coding guidelines, regulatory requirements, and work processes. • Provides feedback and develops educational action plans. • Establishes, implements, and maintains a formalized review process to support coding compliance. • Supports the manager in ensuring the completion of training of new employees and ongoing training of current employees. • Researches and responds to questions from the coding staff. • Evaluates the quality of clinical documentation to spot incomplete or inconsistent documentation impacting code selection.

🎯 Exigences

• High School Diploma/GED • 4 years of experience in coding/abstracting of complex patient encounters. • Microsoft Office and presentation skills. • Medical terminology, anatomy and physiology, pathophysiology, regulatory agency requirements, severity of illness classification, and health care statistics computation. • Knowledge of ICD-10-CM/PCS, HCPCs/CPT, modifiers, charge applications, and reimbursement methodologies (DRG, APC). • CCA - Certified Coding Associate AHIMA - State of Pennsylvania Upon Hire or CCS - Certified Coding Specialist AHIMA - State of Pennsylvania or CCS-P - Certified Coding Specialist-Physician Based AHIMA - State of Pennsylvania or CPC - Certified Professional Coder - State of Pennsylvania or CPC-H-Certified Professional Coder-Hospital AAPC - State of Pennsylvania

🏖️ Avantages

• Health insurance • 401(k) matching • Paid time off • Professional development programs

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