Coding Quality & Education Review Specialist - REMOTE

Review Specialist, Coding Quality & Education

Who we are:

At Lifepoint Health, we provide quality healthcare to rural communities. As a valued member of our team, you will be an integral part of a group working together to elevate Lifepoint's healthcare delivery network. Our network includes 60+ community hospitals, 60+ rehabilitation/behavioral health hospitals, and 250 additional sites of care across the United States. As an organization, we are dedicated to serving communities nationwide by providing exceptional care. We believe in the power of our talented teams and strive to create environments where employees find purpose and fulfillment.

What you’ll do:

As a Review Specialist, Coding Quality & Education, you will review accounts for accurate and appropriate coding and clinical documentation integrity (CDI) in accordance with the Company’s policies and procedures. Participates in the identification of educational areas for the company through the review process.

Responsibilities:

• Perform coding quality reviews on LifePoint Health coding professionals 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 training for the coding professional based on the findings of the coding quality reviews.
• Prepare audit summaries for reporting to the Coding Quality and Education Director.
• 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.
• Monitor and supervise personal coding quality review engagement scheduling and progress of reviews; propose modifications as necessary to improve audit effectiveness and efficiency of the schedule.
• 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.
  
  

What you’ll need:

Education: Associate 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 hospital/clinical coding.

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.

Why choose us:

As a team member of the Health Support Center, our goal is to support those that are in our facilities who are interfacing and providing care to our patients and community members. Our focus is to attract, retain, and empower a diverse and determined workforce. Our mission statement is at the heart of who we are and what we do: “Making Communities Healthier.” In this shared mission, we believe that our collective efforts will shape a healthier future for the communities we serve.

Benefits: We offer an excellent total compensation package, including a competitive salary and benefits. Some of our benefits include 401k, flexible PTO, generous Employee illness benefit (EIB), medical, dental, vision, tuition reimbursement, and an Employee Assistance Program. We believe that happy, healthy people have a passionate engagement with life and work and have designed our package to enhance your wellbeing.

Equal opportunity and affirmative action employers and are looking for diversity in candidates for employment: Minority/Female/Disabled/Protected Veteran