Medical Coding Quality Analyst – Remote Position

Denver, Colorado

Job ID 7410-7178 Date posted 02/15/2024

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The Physician Services Revenue Integrity team at Lifepoint Health is a nationwide revenue cycle management services provider that has been offering high quality medical billing services since 2004. We offer a rewarding work environment with career advancement opportunities while maintaining a small company, employee-focused atmosphere.

This is a fully remote position! You must live in the United States.

We believe that success is achieved through talented people. We want to create places where employees want to work, with opportunities to pursue meaningful and satisfying careers that truly make a difference in communities across the country.

We are always looking for people inspired to help us in our mission. If you are someone who wants to change the lives of patients, drive success for our partners and be part of a team driven to improve care, we may have your next opportunity.

We are currently seeking a Quality Analyst. This remote-based position will spend the majority of the time auditing coders, educating coders, and working on various projects that involve coding and education. You would be working in a team environment with guidance from the Audit Supervisor and Audit Manager. This position also works closely with the Centralized Coding Unit and PMDS vendor partners.

The Quality Analyst will perform Evaluation and Management coding, procedure, ICD-10 and HCPC quality reviews as well as other projects related to physician coding compliance. Demonstrates a thorough understanding of complex coding, and reimbursement, as they relate to physician practices and clinic settings. Keeps informed regarding current coding regulations, professional standards and company/department policies and procedures and effectively applies this knowledge.

RESPONSIBILITIES

• Apply appropriate coding classification standards and guidelines to medical record documentation for accurate coding.
• Perform quality assessment of records, including verification of medical record documentation (both electronic and handwritten).
• Perform quality assessments of coders completed work to validate standards are met.
• Educate coders and other staff on appropriate coding guidelines.
• Responsible for researching errors or missing documentation from medical records in order to provide accurate coding processes.
• Abstract and assign the appropriate ICD-10, HCPCS/CPT codes; including Level I & Level II modifiers as appropriate for all diagnosis and procedures performed in outpatient and inpatient settings.
• Assist in the development and ongoing maintenance of processes and procedures for each assigned client revolving around system use, billing/coding rules, and client specific guidelines.
• Manage time effectively to meet all required deadlines and timeframes for client and department needs.
• Collaborate in a team environment with the Department Manager and other staff on a regular basis.
• Ensure compliance with all relevant regulations, standards, and laws.

ROLE REQUIREMENTS:

5 years medical abstract coding/auditing Pro-Fee experience-REQUIRED

Minimum of 3 years’ experience in coding audit or quality review work – 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 create and follow written procedure.

Ability to provide professional written communication and excellent customer service.

Technical proficiency with computers, basic Microsoft software, and medical software systems (PM/EHR)

High-school diploma (bachelor’s degree preferred)

Strong organizational skills

Excellent communication skills and ability to work in a team environment.

Strong technical and computer skills (PM/EHR Software, Excel, Outlook, MS Office, Web)

Ability to learn new systems, software and client specialties quickly.

Self-starter with little to no supervision

Additional Functions

Coding, Charge Review, Charge Entry, Denials Review if needed

BENEFITS

At Lifepoint, our Mission of Making Communities Healthier extends to our employees. 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.

We also offer a flexible, remote work environment.

Pay Range: $24-28/hour The final agreed upon compensation is based on individual education, qualifications, experience, and work location. This position is bonus eligible.

Lifepoint Health is committed to providing Equal Employment Opportunities for all applicants and employees and complies with all applicable laws prohibiting discrimination against any employee or applicant for employment because of color, race, sex, age, religion, national origin, disability, genetic information, gender identity, sexual orientation, veterans’ status or any other basis protected by applicable federal, state or local law.

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

Apply: Save Job

Job ID 7410-7178 Date posted 02/15/2024

Apply: Save Job

The Physician Services Revenue Integrity team at Lifepoint Health is a nationwide revenue cycle management services provider that has been offering high quality medical billing services since 2004. We offer a rewarding work environment with career advancement opportunities while maintaining a small company, employee-focused atmosphere.

This is a fully remote position! You must live in the United States.

We believe that success is achieved through talented people. We want to create places where employees want to work, with opportunities to pursue meaningful and satisfying careers that truly make a difference in communities across the country.

We are always looking for people inspired to help us in our mission. If you are someone who wants to change the lives of patients, drive success for our partners and be part of a team driven to improve care, we may have your next opportunity.

We are currently seeking a Quality Analyst. This remote-based position will spend the majority of the time auditing coders, educating coders, and working on various projects that involve coding and education. You would be working in a team environment with guidance from the Audit Supervisor and Audit Manager. This position also works closely with the Centralized Coding Unit and PMDS vendor partners.

The Quality Analyst will perform Evaluation and Management coding, procedure, ICD-10 and HCPC quality reviews as well as other projects related to physician coding compliance. Demonstrates a thorough understanding of complex coding, and reimbursement, as they relate to physician practices and clinic settings. Keeps informed regarding current coding regulations, professional standards and company/department policies and procedures and effectively applies this knowledge.

RESPONSIBILITIES

• Apply appropriate coding classification standards and guidelines to medical record documentation for accurate coding.
• Perform quality assessment of records, including verification of medical record documentation (both electronic and handwritten).
• Perform quality assessments of coders completed work to validate standards are met.
• Educate coders and other staff on appropriate coding guidelines.
• Responsible for researching errors or missing documentation from medical records in order to provide accurate coding processes.
• Abstract and assign the appropriate ICD-10, HCPCS/CPT codes; including Level I & Level II modifiers as appropriate for all diagnosis and procedures performed in outpatient and inpatient settings.
• Assist in the development and ongoing maintenance of processes and procedures for each assigned client revolving around system use, billing/coding rules, and client specific guidelines.
• Manage time effectively to meet all required deadlines and timeframes for client and department needs.
• Collaborate in a team environment with the Department Manager and other staff on a regular basis.
• Ensure compliance with all relevant regulations, standards, and laws.

ROLE REQUIREMENTS:

5 years medical abstract coding/auditing Pro-Fee experience-REQUIRED

Minimum of 3 years’ experience in coding audit or quality review work – 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 create and follow written procedure.

Ability to provide professional written communication and excellent customer service.

Technical proficiency with computers, basic Microsoft software, and medical software systems (PM/EHR)

High-school diploma (bachelor’s degree preferred)

Strong organizational skills

Excellent communication skills and ability to work in a team environment.

Strong technical and computer skills (PM/EHR Software, Excel, Outlook, MS Office, Web)

Ability to learn new systems, software and client specialties quickly.

Self-starter with little to no supervision

Additional Functions

Coding, Charge Review, Charge Entry, Denials Review if needed

BENEFITS

At Lifepoint, our Mission of Making Communities Healthier extends to our employees. 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.

We also offer a flexible, remote work environment.

Pay Range: $24-28/hour The final agreed upon compensation is based on individual education, qualifications, experience, and work location. This position is bonus eligible.

Lifepoint Health is committed to providing Equal Employment Opportunities for all applicants and employees and complies with all applicable laws prohibiting discrimination against any employee or applicant for employment because of color, race, sex, age, religion, national origin, disability, genetic information, gender identity, sexual orientation, veterans’ status or any other basis protected by applicable federal, state or local law.

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

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