Coding Edit Analyst

Inova Health is looking for a dedicated Coding Edit Analyst to join the team. Full-time Day Shift: Monday-Friday, general office hours, working remotely.

This position is eligible for remote work for candidates residing in the following states - VA, MD, DC, DE, FL, GA, NC, OH, PA, SC, TN, TX, WV.

Inova is consistently ranked a national healthcare leader in safety, quality and patient experience. We are also proud to be consistently recognized as a top employer in both the D.C. metro area and the nation.

Featured Benefits:

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  Committed to Team Member Health: offering medical, dental and vision coverage, and a robust team member wellness program.

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  Retirement: Inova matches the first 5% of eligible contributions - starting on your first day.

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  Tuition and Student Loan Assistance: offering up to $5,250 per year in education assistance and up to $10,000 for student loans.

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  Mental Health Support: offering all Inova team members, their spouses/partners, and their children 25 mental health coaching or therapy sessions, per person, per year, at no cost.

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  Work/Life Balance: offering paid time off, paid parental leave.

Coding Edit Analyst Job Responsibilities:

• Investigates and resolves coding edits for inpatient and outpatient hospital encounters.
• Ensures accurate and complete assignment of modifiers, CPT codes, and ICD-10-CM diagnosis codes that are supported by medical record documentation.
• Analyzes coding edit review findings and makes recommendations to HB Coding Operations leadership in order to improve documentation, encounter flow and accuracy.
• Reviews denial trends for documentation and coding opportunities and provides feedback on educational gaps.
• Performs appropriate analytics as daily work queue management functions are performed.
• Performs verification of coded data for accuracy and completeness.
• Partners with the Billing team counterparts to determine how account errors related to coding are resolved for purposes of accurate billing of claims according to regulatory requirements.
• Reviews applicable Centers for Medicaid & Medicare Services transmittals, National Coverage Decisions, and Local Coverage Decisions.
• Reviews denial trends for documentation/coding opportunities and provides feedback on educational gaps

Minimum Requirements:

• Education: High School diploma or GED
• Experience: Five years of experience in either a coding or billing role.
• Certifications: One of the following coding credentials: RHIA, RHIT, CCS, CPC, CPC-H.

Preferred Qualifications:

• HB Outpatient coding experience needed
• Strong critical thinking/problem solving skills