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:

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

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

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

• 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.

• 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

We are Inova, Northern Virginia’s leading nonprofit healthcare provider. Every day, our 26,000+ team members provide world-class healthcare to the communities we serve. Our people are the reason we're a national leader in healthcare safety, quality and patient experience. And from best-in-class facilities to professional development opportunities, we support them at every step. At Inova, we're constantly striving to be ever better — to shape a more compassionate future for healthcare. 

Inova Health System is an Equal Opportunity employer. All qualified applicants will receive consideration for employment without regard to age, color, disability, gender identity or expression, marital status, national or ethnic origin, political affiliation, pregnancy (including childbirth, pregnancy-related conditions and lactation), race, religion, sex, sexual orientation, veteran status, genetic information, or any other characteristics protected by law.