Quality Assurance Coding Specialist

Coding Quality Assurance Analyst

Park Nicollet is looking to hire a Coding Quality Assurance Analyst to join our team! Come join us as a Partner for Good and help us make an impact on the care and experience that our patients and their families receive every day.

Position Summary:

The Coding Quality Assurance Analyst is responsible for auditing the accuracy, completeness, and compliance of inpatient, hospital outpatient, and clinic encounters across the organization. This role conducts comprehensive audits, identifies documentation and coding gaps, and collaborates with coders, clinicians, and Clinical Documentation Improvement (CDI) teams to advance coding quality and accuracy.

Must have an in-depth understanding of coding and compliance rules and regulations, knowledge of the Electronic Health Record (EHR).

Some components of the major job duties may or may not pertain to your position, depending on the coding area you are responsible for.

Required Qualifications:

• Requires completion of a coding education program, degree in Health Information Management or related field, or equivalent coding experience.
• Three years coding experience

Licensure/ Registration/ Certification:

• Must hold an approved coding certification (CCA, COC, CCS, CPC, CCS P, RHIT, or RHIA).

Knowledge, Skills, and Abilities:

• Knowledge in using CPT, HCPCS, ICD-10 CM, PCS coding guidelines, rules and regulations, intermediate knowledge of anatomy, physiology, disease processes and medical terminology
• Intermediate knowledge of Microsoft Office Suite. Ability to create excel spreadsheets and pivot tables for reporting and data analysis.
• Must be able to work independently, apply time management and critical thinking skills, and have strong decision-making skills.
• Must be a highly skilled and experienced coder who can work independently.
• Ability to present information in one-on-one and/or group settings and communicate information in a professional and confident manner.
• Must have a thorough understanding of revenue cycle stream.

Preferred Qualifications:

• Three to Five years coding experience
• Epic experience preferred
• Experience working with online coding resources and other related software programs.
• Strong E & M and/or Inpatient coding experience

Knowledge, Skills, and Abilities:

• Knowledge in using CPT, HCPCS, ICD-10 CM, PCS coding guidelines, rules and regulations, advanced knowledge of anatomy, physiology, disease processes and medical terminology
• Ability to present and communicate information in either individual and/or group settings in a professional and confident manner.

Benefits:

Park Nicollet offers a competitive benefits package (for eligible positions) that includes medical insurance, dental insurance, a retirement program, time away from work, insurance options, tuition reimbursement, an employee assistance program, onsite clinic and much more!

About Us

At HealthPartners we believe in the power of good – good deeds and good people working together. As part of our team, you'll find an inclusive environment that encourages new ways of thinking, celebrates differences, and recognizes hard work.

We're a nonprofit, integrated health care organization, providing health insurance in six states and high-quality care at more than 90 locations, including hospitals and clinics in Minnesota and Wisconsin. We bring together research and education through HealthPartners Institute, training medical professionals across the region and conducting innovative research that improve lives around the world.

At HealthPartners, everyone is welcome, included and valued. We're working together to increase diversity and inclusion in our workplace, advance health equity in care and coverage, and partner with the community as advocates for change.

Benefits Designed to Support Your Total Health As a HealthPartners colleague, we're committed to nurturing your diverse talents, valuing your dedication, and supporting your work-life balance. We offer a comprehensive range of benefits to support every aspect of your life, including health, time off, retirement planning, and continuous learning opportunities. Our goal is to help you thrive physically, mentally, emotionally, and financially, so you can continue delivering exceptional care.

Join us in our mission to improve the health and well-being of our patients, members, and communities.

We are an Equal Opportunity Employer and do not discriminate against any employee or applicant because of race, color, sex, age, national origin, religion, sexual orientation, gender identify, status as a veteran and basis of disability or any other federal, state or local protected class.