[Hiring] Coding Integrity Analyst @1004 Lehigh Valley Hospital
Mar 25, 2025 - 1004 Lehigh Valley Hospital is hiring a remote Coding Integrity Analyst. đź’¸ Salary: unspecified. đź“ŤLocation: USA.
Role Description
This role involves maintaining the coding integrity for network-wide provider-based services and conducting critical data analysis and research on complex documentation and coding issues.
- Assimilates data and reports results that help set direction for coding education and focused projects.
- Resolves claim and charge review edits for all practices and provides new or revised guidance on billing of new services.
- Serves as a resource to the organization for coding as it relates to professional fee billing and hospital outpatient departments (HOPDs).
- Analyzes and resolves relevant coding edits in the billing system for all physician practices and HOPDs to ensure accurate billing to all payers.
- Reviews and coordinates resolution of coding denials with the AR Team.
- Advises AR Specialist on appeal language, as necessary.
- Reviews issues and assists the AR Team with customer service related coding complaints from patients.
- Promotes confidentiality and uses discretion when handling patient information.
- Analyzes coding trends/issues and prepares necessary reports for educational purposes.
- Conducts research on new procedures or changing guidelines so that policies can be developed.
- Provides assessment and tracks the documentation of compliance and improvement initiatives.
- Identifies trends relaying to Compliance Services for provider education.
- Recommends coding changes to improve the data management integrity of systems.
- Serves as a coding resource and assists providers and office staff with coding related concerns.
Qualifications
- High School Diploma/GED or coding curriculum to include medical terminology, A&P, ICD-10, and coding guidelines.
- 2 years experience in CPT, ICD-10, and HCPCS coding in a physician office setting or in a hospital outpatient setting or 2 years Accounts Receivable background.
- Knowledge of Evaluation and Management Coding.
- Knowledge of medical terminology, anatomy and physiology, and pathophysiology.
- Knowledge of statistical methods and tools.
- Knowledge of CPT and ICD-10 CM coding classification systems.
- Skill in analyzing and organizing technical data.
- Problem solving ability.
- CPC - Certified Professional Coder - State of Pennsylvania Upon Hire or CCS-P - Certified Coding Specialist-Physician Based AHIMA - State of Pennsylvania Upon Hire.
Preferred Qualifications
- Bachelor’s Degree in a Healthcare related field.
- 5 years experience in CPT, ICD-10, and HCPCS coding in a physician office setting or in a hospital outpatient setting.
Physical Demands
- Lift and carry 7 lbs.
- Continuous sitting >67%.
- Frequent keyboard use/repetitive motion.
- Frequent fine motor activity/wrist position deviation.
Job Description Disclaimer
This position description provides the major duties/responsibilities, requirements and working conditions for the position. It is intended to be an accurate reflection of the current position, however management reserves the right to revise or change as necessary to meet organizational needs. Other responsibilities may be assigned when circumstances require.
Equal Opportunity Employer
Lehigh Valley Health Network is an equal opportunity employer. In accordance with, and where applicable, in addition to federal, state and local employment regulations, Lehigh Valley Health Network will provide employment opportunities to all persons without regard to race, color, religion, sex, age, national origin, sexual orientation, gender identity, disability or other such protected classes as may be defined by law.
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| đź“Ť | Be aware of the location restriction for this remote position: USA |
| ‼ | Beware of scams! When applying for jobs, you should NEVER have to pay anything. Learn more. |
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Salary
đź’¸
unspecified
|
Remote
Location
USA
|
|
Job Type
full-time
|
Posted
Mar 25, 2025
|
| đź“Ť | Be aware of the location restriction for this remote position: USA |
| ‼ | Beware of scams! When applying for jobs, you should NEVER have to pay anything. Learn more. |
