HIM QA Coding Analyst

$56,742 - $85,114/Yr

Mosaic Life Care - Saint Joseph, MO

Full-time - Mid Level

Saint Joseph, MO

Hospitals

About the position

The HIM QA Coding Analyst at Mosaic Life Care plays a crucial role in ensuring compliance with health information management standards through audits and educational initiatives. This position focuses on identifying high-risk areas, developing processes, and providing training to clinical staff and coders, all while adhering to regulatory changes and organizational policies.

Responsibilities

• Perform random and targeted audits to identify high-risk areas for the organization.
• Create, review, and update department processes, guidelines, and standards in adherence to regulatory changes.
• Provide individual or group education for clinical staff, providers, and coders.
• Serve as a liaison with various departments including Knowledge Management and Patient Financial Services.
• Analyze existing HIM policies and recommend new or revised standards.
• Design and implement risk assessments to identify areas for improvement in coding and documentation.
• Investigate and respond to audits identified by regulatory contractors.
• Coordinate with HIM managers regarding DRG changes and other audits.
• Facilitate the resolution of noncompliant findings and escalate critical issues to the QA Manager.

Requirements

• Exceptional communication skills in both verbal and written form.
• Strong problem-solving and research skills.
• Ability to interpret CMS regulations and guidance.
• Experience in health information management and coding compliance.

Nice-to-haves

• Experience with educational program development related to coding and documentation.
• Familiarity with regulatory audits and compliance processes.

Benefits

• Concierge services
• Employee lounge
• Wellness programs
• Free covered parking
• Free on-site and virtual health clinics