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Senior Coding Data Quality Analyst
Lehigh Valley Health NetworkSenior Coding Data Quality Analyst responsible for coding compliance and training staff. Part of Lehigh Valley Health Network ensuring quality management in patient care coding processes.
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in coding compliance, quality management, and staff training within healthcare settings. Proficient in ICD-10-CM/PCS, HCPCs/CPT coding, and regulatory requirements to ensure accurate reimbursement and documentation.
Highest-signal resume keywords
ICD-10-CM/PCS CodingMedical TerminologyCertified Coding Associate (CCA)Coding ComplianceStaff Training and Education
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
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Hard Skills
CodingAuditingMonitoringQuality ManagementHealth Care Statistics Computation
Soft Skills
CommunicationFeedback DevelopmentTraining Skills
Tools & Technologies
Microsoft Office
Certifications & Qualifications
Certified Coding Associate (CCA)Certified Coding Specialist (CCS)Certified Professional Coder (CPC)Certified Coding Specialist-Physician Based (CCS-P)Certified Professional Coder-Hospital (CPC-H)
Industry Keywords
Reimbursement MethodologiesRegulatory Agency RequirementsSeverity of Illness ClassificationClinical Documentation
About the role
Key responsibilities & impact- Develops, implements, and maintains a coding and reimbursement quality management plan at the network level.
- Trains and educates coding and clinical staff.
- Serves as a coding resource for the organization.
- Performs coding, monitoring, and auditing activities providing individual, departmental, and topic related results according to established schedule.
- Conducts formal education and training for staff on policies/procedures, coding guidelines, regulatory requirements, and work processes.
- Provides feedback and develops educational action plans.
- Establishes, implements, and maintains a formalized review process to support coding compliance.
- Supports the manager in ensuring the completion of training of new employees and ongoing training of current employees.
- Researches and responds to questions from the coding staff.
- Evaluates the quality of clinical documentation to spot incomplete or inconsistent documentation impacting code selection.
Requirements
What you’ll need- High School Diploma/GED
- 4 years of experience in coding/abstracting of complex patient encounters.
- Microsoft Office and presentation skills.
- Medical terminology, anatomy and physiology, pathophysiology, regulatory agency requirements, severity of illness classification, and health care statistics computation.
- Knowledge of ICD-10-CM/PCS, HCPCs/CPT, modifiers, charge applications, and reimbursement methodologies (DRG, APC).
- 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
Comp & perks- Health insurance
- 401(k) matching
- Paid time off
- Professional development programs