Senior Data Quality Analyst – Provider Based

Job not on LinkedIn

🕒 2 days ago

🔔 Pennsylvania – Remote

🔔 Pennsylvania – Remote

⏰ Full Time

🟠 Senior

🧐 Analyst

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

Apply Now

Find Similar Remote Jobs

Receive Emails For Remote Jobs

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Upload Resume

Lehigh Valley Health Network

WebsiteLinkedInAll Job Openings

10,000+ employees

⚕️ Healthcare Insurance

Healthcare Insurance

Lehigh Valley Health Network is a comprehensive healthcare system that is now part of Jefferson Health, one of the top 15 not-for-profit health systems in the United States. It offers a wide range of medical services, including primary care, urgent care, and specialized institutes like the Lehigh Valley Topper Cancer Institute and the Lehigh Valley Heart and Vascular Institute. LVHN provides extensive care solutions, including video visits, second opinions, and a network of doctors and clinicians in numerous locations. It emphasizes education through residencies and fellowships and prioritizes patient-centric services such as lab testing and women's health care. The network also focuses on innovation, offering clinical trials and advanced therapies like CAR-T Cell Therapy.

📋 Description

• 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 • 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

🎯 Requirements

• Associate’s Degree in health information management program or work experience in a complex coding environment, equivalent to Associates Degree • 4 years of experience coding/abstracting of complex provider-based patient encounters • Expert knowledge of ICD-10CM, HCPCS/CPT coding, modifiers, and reimbursement methodologies (wRVUs) • Microsoft Office and presentation skills • 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

🏖️ Benefits

• Health insurance • Retirement plans • Paid time off • Flexible work arrangements • Professional development