AddressDescription
The Physician Services Revenue Integrity team at Lifepoint Health is a national provider of revenue cycle management services with a focus on delivering top-notch medical billing services since 2004. Dive into a fulfilling work environment that offers room for career growth while maintaining a cozy, employee-centered vibe.
This fully remote position is tailored for individuals residing in the United States.
We strongly believe that success comes from having talented individuals on board. Our goal is to nurture workplaces where employees feel valued, with avenues to pursue rewarding careers that truly impact communities nationwide.
We are on the lookout for passionate individuals eager to contribute to our cause. If you are someone who aims to impact patient lives positively, drive success for our partners, and be part of a team dedicated to enhancing healthcare, this could be your next big opportunity.
We are currently in search of a Quality Analyst. In this remote role, you'll mainly focus on auditing coders, providing coder education, and engaging in diverse projects centered around coding and education. You'll collaborate within a supportive team environment under the guidance of the Audit Supervisor and Audit Manager, closely interacting with the Centralized Coding Unit and PMDS vendor partners.
The Quality Analyst will be responsible for conducting Evaluation and Management coding, procedural, ICD-10, and HCPC quality reviews along with other projects related to physician coding compliance. Demonstrate a comprehensive understanding of intricate coding and reimbursement aspects pertinent to physician practices and clinic setups. Stay updated on current coding regulations, professional standards, and company/department policies and consistently apply this knowledge.
RESPONSIBILITIES
- Apply appropriate coding classification standards and guidelines to medical record documentation for precise coding.
- Assess the quality of records, verifying medical record documentation accuracy (both electronic and handwritten).
- Conduct quality assessments of coders' completed work to ensure standards compliance.
- Educate coders and other staff on correct coding guidelines.
- Research errors or missing documentation from medical records to facilitate accurate coding processes.
- Abstract and assign suitable ICD-10, HCPCS/CPT codes, including Level I & Level II modifiers as necessary for all diagnoses and procedures conducted in outpatient and inpatient settings.
- Aid in the establishment and continual maintenance of processes and procedures for each assigned client concerning system usage, billing/coding regulations, and client-specific guidelines.
- Effectively manage time to meet all stipulated deadlines and timeframes for client and departmental requirements.
- Regularly collaborate within a team environment with the Department Manager and other team members.
- Ensure adherence to all relevant regulations, standards, and laws.
ROLE REQUIREMENTS:
- 5 years of medical abstract coding/auditing Pro-Fee experience - REQUIRED
- Minimum of 3 years' experience in coding audit or quality review - REQUIRED
- Auditing certification through AAPC (CPMA) - REQUIRED
- Additional certification through AHIMA or AAPC
- Certifications: The following certifications (or eligibility therefor): CPC, CEMC, CRC, CPB, Specialty certification, CCS-P, RHIT
- Ability to draft and follow written procedures.
- Capable of delivering professional written communication and excellent customer service.
- Proficient with computers, basic Microsoft software, and medical software systems (PM/EHR)
- High school diploma required (bachelor's degree preferred)
- Strong organizational skills
- Excellent communication skills and ability to thrive in a team setting.
- Strong technical and computer skills (PM/EHR Software, Excel, Outlook, MS Office, Web)
- Quick to learn new systems, software, and client specialties.
- Self-motivated and can work effectively with minimal supervision
Additional Functions
Coding, Charge Review, Charge Entry, Denials Review if required
BENEFITS
At Lifepoint, our Mission of Making Communities Healthier extends to our employees. We provide a comprehensive compensation package, encompassing a competitive salary and various benefits. Some of the perks include 401k, flexible PTO, generous Employee Illness Benefit (EIB), medical, dental, vision, tuition reimbursement, and an Employee Assistance Program. We understand that happy and healthy employees are more engaged in both life and work, which is why we've designed our package to elevate your overall well-being.
We also offer a flexible, remote work setting.
Pay Range: $24-28/hour. The final compensation will be determined based on individual education, qualifications, experience, and work location. This position also offers bonus incentives.
Lifepoint Health is dedicated to providing Equal Employment Opportunities to all applicants and employees, complying with all pertinent laws that prohibit discrimination based on various factors. We stand by Equal Opportunity and affirmative action principles and seek diversity among potential candidates: Minority/Female/Disabled/Protected Veteran
