Coding Quality Analyst

About Pinnacle Method Consulting

Pinnacle Method Consulting helps job seekers access top-tier career opportunities by systematically sourcing and verifying roles from premier employers. We are not a staffing firm or agency; our mission is to connect outstanding candidates with leading companies that prioritize candidate privacy and equal opportunity employment.

Why This Opportunity Stands Out

This role offers a comprehensive benefits package designed to support your financial, health, and work/life balance goals. You'll have access to an on-demand pay program, discounts on various services, optional identity theft protection, home and auto insurance, and pet insurance. Additionally, traditional and Roth retirement options with service contribution and match savings are provided. This is an exceptional chance to contribute within a nationally recognized health system, fostering personal and professional development.

Key Responsibilities of a Coding Quality Analyst

• Conduct internal quality assessment reviews, providing education on coding practices to ensure strict adherence to the Coding Quality Plan.
• Collaborate effectively with healthcare providers and coding employees to resolve billing, coding, and reimbursement issues.
• Analyze monthly billing reports, specifically focusing on revenue cycle metrics and the adequacy of documentation.
• Act as a vital liaison between the Coding department and the employer to elevate awareness regarding essential coding and documentation standards.
• Proactively identify areas for improvement and opportunities, recommending and implementing practical solutions to enhance operational efficiency.

What We Look For (Qualifications)

• A Bachelor's degree in accounting, finance, healthcare administration, or a related field, or an equivalent combination of education and experience.
• A minimum of two years of progressive experience in hospital functions, including professional/facility coding, reimbursement, and billing.
• Certification as a Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), Coding Specialist (CCS), or Professional Coder.
• A strong, comprehensive understanding of coding compliance and core financial functions.
• Demonstrated ability to present complex information clearly and effectively to diverse audiences.

Preferred Qualifications to Help You Stand Out

• Experience encompassing various hospital functions beyond just coding, such as chargemaster maintenance.
• Possession of strong analytical skills, crucial for interpreting data trends and translating them into actionable insights.
• Excellent communication and interpersonal skills, essential for fostering effective collaboration with a wide range of healthcare professionals.

Key Skills/Competency

• Medical Coding
• Quality Assurance
• Healthcare Administration
• Revenue Cycle Management
• Billing and Reimbursement
• Coding Compliance
• Data Analysis
• Communication Skills
• Problem Solving
• Provider Education