Coding Quality Analyst

Overview

Job Description - Coding Quality Analyst (897738)

The Coding Quality Analyst reviews medical records to validate the completion of all coding audit workflows. Analyze audit findings coded health information records to evaluate the quality of coding and abstracting, verifying accuracy and appropriateness of assigned diagnostic and procedure codes, as well as other abstracted data, such as POA, discharge disposition, etc. Ensure accurate assignment of all risk adjustment variables.

The Coding/Quality Analyst will assist the Supervisor by tracking and trending front-end activities that influence coding audit workflows, identifying opportunities for workflow efficiencies and optimization to support quality initiatives and financial performance. This role will collaborate with the Coding, CDI and the DRG Denials Teams.

UT Southwestern is proud to offer a competitive and comprehensive benefits package to eligible employees. Our benefits are designed to support your overall wellbeing, and include:

• PPO medical plan, available day one at no cost for full-time employee-only coverage
• 100% coverage for preventive healthcare - no copay
• Paid Time Off, available day one
• Retirement Programs through the Teacher Retirement System of Texas (TRS)
• Paid Parental Leave Benefit
• Wellness programs
• Tuition Reimbursement
• Public Service Loan Forgiveness (PSLF) Qualified Employer
• Learn more about these and other UTSW employee benefits!

Required

• Experience
  3 years Acute Hospital-Based Coding experience
  An equivalent combination of education and experience may be considered
  Experience working in a remote environment.
• Licenses and Certifications
  (RHIT) REGD HEALTH INFO TECHNOLOGY or
  (RHIA) REGD HEALTH INFO ADMINISTRATION or
  (CCS) CERT CODING SPECIALIST AHIMA Certified Coding Specialist or
  (CIC) AAPC Certified Inpatient Coder

Preferred

• Education
  Associate's Degree or Bachelor's Degree in Health Information Management, or a closely related field
• Experience
  5 years of related experience
  Experience in an Academic Medical Center

• Ensure Vizient risk adjustment variables have been assigned in final code set
• Make corrections as appropriate
• Ensure coding change recommendations and relative processes are completed in all systems: 3M, Epic, eValuator
• Ensure all valid coding audit recommendations are assigned in final code set
• Make corrections as appropriate
• Validate abstracted data, Present on Admission (POA), discharge disposition (DD), point of origin (PoO), Admit Type, and other abstracted data
• Make corrections as appropriate
• Track and report Coder non-compliance to the Manager
• Analyze and effectively identify audit findings (eValuator, QRN, DRG Validation, and Accuity) for relevant educational opportunities and report to the Coding Manager
• Support all coding audit workflows
• Support process improvement to ensure effective/efficient workflows
• Identify front-end activities that influence workflows
• Promptness of task completion is essential to ensure timely movement through all audit levels to billing
• Support the Quality Standards set by UTSW and the HIM Coding & CDI Department
• Maintain an expert level of knowledge of Coding guidelines and practices
• Other duties as assigned

Security
This position is security-sensitive and subject to Texas Education Code 51.215, which authorizes UT Southwestern to obtain criminal history record information.

EEO
UT Southwestern Medical Center is committed to an educational and working environment that provides equal opportunity to all members of the University community. As an equal opportunity employer, UT Southwestern prohibits unlawful discrimination, including discrimination on the basis of race, color, religion, national origin, sex, sexual orientation, gender identity, gender expression, age, disability, genetic information, citizenship status, or veteran status.

UT Southwestern Medical Center is committed to an educational and working environment that provides equal opportunity to all members of the University community. In accordance with federal and state law, the University prohibits unlawful discrimination, including harassment, on the basis of: race; color; religion; national origin; gender, including sexual harassment; age; disability; citizenship; and veteran status. In addition, it is UT Southwestern policy to prohibit discrimination on the basis of sexual orientation, gender identity, or gender expression.

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