Lifepoint Health®
Coding Quality Education Review Specialist
Lifepoint Health®, Brentwood, Tennessee, United States, 37027
Coding Quality Education Review Specialist
Join to apply for the Coding Quality Education Review Specialist role at Lifepoint Health®. As a member of the Health Support Center (HSC) team, you will review accounts for accurate and appropriate coding and/or clinical documentation integrity (CDI) in accordance with Lifepoint Health's policies and industry standards, helping to make communities healthier®.
Schedule: Monday-Friday, 40 hours per week. 8 am - 5 pm in your time zone. On occasion, schedule adjustments may be required for department meetings across time zones.
Job Location Type: Remote.
Responsibilities
Perform assigned coding quality reviews for all coding professionals (e.g., Lifepoint employed coders and contract coders) in adherence to The American Health Information Management Association (AHIMA) Standards of Ethical Coding, The Association of Clinical Documentation Improvement Specialist (ACDIS) Code of Ethics, Official Coding Guidelines, Lifepoint Health policies and procedures, The International Classification of Disease tenth revision (ICD-10) rules and regulations, and the American Medical Association (AMA) Current Procedural Terminology (CPT) guidelines and rules for reporting.
Identify trends and recommend appropriate education for the coding professionals based on the findings of the coding quality reviews.
Prepare audit summaries for reports for distribution to facility CFOs and compliance.
Monitor assigned coding quality review schedules and progress of reviews; propose modifications as necessary to improve audit effectiveness and efficiency of the schedule.
Serve as a coding resource for coding questions that are assigned.
Uses independent discretion/decision making while effectively working alone.
Attends educational webinars, conference calls, other coding seminars, and participates in all formal and informal coding discussions. Complete all assigned compliance courses within assigned period.
Maintain at least twenty (20) continuing education hours annually and maintain required credentials.
Conforms to AHIMA's Code of Ethics and Standards of Ethical Coding, LifePoint Attendance Policy and ensures patient/employee privacy and dignity by maintaining confidentiality with no infractions.
Other related job tasks or responsibilities as assigned.
Benefits
Comprehensive Benefits: Multiple levels of medical, dental and vision coverage- tailored benefit options for part-time and PRN employees, and more.
Financial Protection & PTO: Life, accident, critical illness, hospital indemnity insurance, short- and long-term disability, paid family leave and paid time off.
Financial & Career Growth: Higher education and certification tuition assistance, loan assistance and 401(k) retirement package and company match.
Employee Well-being: Mental, physical, and financial wellness programs (free gym memberships, virtual care appointments, mental health services and discount programs).
Professional Development: Ongoing learning and career advancement opportunities.
Qualifications
Education: Healthcare related Associate's degree or any equivalent combination of education, experience, and training that provides the required knowledge, skills, and abilities; Bachelor's degree preferred.
Experience:
Minimum five years' experience, preferably in coding quality reviews and/or coding audits, with three years' specific experience in Inpatient hospital coding.
Must be familiar with Diagnosis Related Groups (DRGs), Ambulatory Payment Categories APC's), the Inpatient Prospective Payment System (IPPS), Outpatient Prospective Payment System (OPPS), National Correct Coding Initiative guidelines, Local and National Coverage Decisions and other medical necessity/compliance guidelines for billing and coding.
Have experience working with CDI team, writing queries, and working with multiple EMR's.
Certifications: Certified Coding Specialist (CCS), Certified Coding Specialist - Physician (CCS-P), Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), Certified Professional Coder (CPC), Certified Inpatient Coder (CIC), Certified Outpatient Coder (COC), or other comparable nationally recognized acute care coding credential provided through AHIMA or AAPC.
EEOC Statement Lifepoint Health an Equal Opportunity Employer. Lifepoint Health is committed to Equal Employment Opportunity for all applicants and employees and complies with all applicable laws prohibiting discrimination and harassment in employment.
Employment Sponsorship Statement You must be work authorized in the United States without the need for employer sponsorship.
Job Details
Seniority level: Mid-Senior level
Employment type: Full-time
Job function: Quality Assurance
Industries: Hospitals and Health Care
#J-18808-Ljbffr
Schedule: Monday-Friday, 40 hours per week. 8 am - 5 pm in your time zone. On occasion, schedule adjustments may be required for department meetings across time zones.
Job Location Type: Remote.
Responsibilities
Perform assigned coding quality reviews for all coding professionals (e.g., Lifepoint employed coders and contract coders) in adherence to The American Health Information Management Association (AHIMA) Standards of Ethical Coding, The Association of Clinical Documentation Improvement Specialist (ACDIS) Code of Ethics, Official Coding Guidelines, Lifepoint Health policies and procedures, The International Classification of Disease tenth revision (ICD-10) rules and regulations, and the American Medical Association (AMA) Current Procedural Terminology (CPT) guidelines and rules for reporting.
Identify trends and recommend appropriate education for the coding professionals based on the findings of the coding quality reviews.
Prepare audit summaries for reports for distribution to facility CFOs and compliance.
Monitor assigned coding quality review schedules and progress of reviews; propose modifications as necessary to improve audit effectiveness and efficiency of the schedule.
Serve as a coding resource for coding questions that are assigned.
Uses independent discretion/decision making while effectively working alone.
Attends educational webinars, conference calls, other coding seminars, and participates in all formal and informal coding discussions. Complete all assigned compliance courses within assigned period.
Maintain at least twenty (20) continuing education hours annually and maintain required credentials.
Conforms to AHIMA's Code of Ethics and Standards of Ethical Coding, LifePoint Attendance Policy and ensures patient/employee privacy and dignity by maintaining confidentiality with no infractions.
Other related job tasks or responsibilities as assigned.
Benefits
Comprehensive Benefits: Multiple levels of medical, dental and vision coverage- tailored benefit options for part-time and PRN employees, and more.
Financial Protection & PTO: Life, accident, critical illness, hospital indemnity insurance, short- and long-term disability, paid family leave and paid time off.
Financial & Career Growth: Higher education and certification tuition assistance, loan assistance and 401(k) retirement package and company match.
Employee Well-being: Mental, physical, and financial wellness programs (free gym memberships, virtual care appointments, mental health services and discount programs).
Professional Development: Ongoing learning and career advancement opportunities.
Qualifications
Education: Healthcare related Associate's degree or any equivalent combination of education, experience, and training that provides the required knowledge, skills, and abilities; Bachelor's degree preferred.
Experience:
Minimum five years' experience, preferably in coding quality reviews and/or coding audits, with three years' specific experience in Inpatient hospital coding.
Must be familiar with Diagnosis Related Groups (DRGs), Ambulatory Payment Categories APC's), the Inpatient Prospective Payment System (IPPS), Outpatient Prospective Payment System (OPPS), National Correct Coding Initiative guidelines, Local and National Coverage Decisions and other medical necessity/compliance guidelines for billing and coding.
Have experience working with CDI team, writing queries, and working with multiple EMR's.
Certifications: Certified Coding Specialist (CCS), Certified Coding Specialist - Physician (CCS-P), Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), Certified Professional Coder (CPC), Certified Inpatient Coder (CIC), Certified Outpatient Coder (COC), or other comparable nationally recognized acute care coding credential provided through AHIMA or AAPC.
EEOC Statement Lifepoint Health an Equal Opportunity Employer. Lifepoint Health is committed to Equal Employment Opportunity for all applicants and employees and complies with all applicable laws prohibiting discrimination and harassment in employment.
Employment Sponsorship Statement You must be work authorized in the United States without the need for employer sponsorship.
Job Details
Seniority level: Mid-Senior level
Employment type: Full-time
Job function: Quality Assurance
Industries: Hospitals and Health Care
#J-18808-Ljbffr