Coding Quality Education Review Specialist

LifePoint Hospitals•Brentwood, TN

46d•Remote

About The Position

Coding Quality Education Review Specialist Schedule: Monday-Friday, 40hrs per week. 8am-5pm in your time zone. On occasion, schedule adjustment may be necessary for department meetings to accommodate all time zones. Job Location Type: Remote Your experience matters At Lifepoint Health, we are committed to empowering and supporting a diverse and determined workforce who can drive quality, scalability, and significant impact across our hospitals and communities. As a member of the Health Support Center (HSC) team, you'll support those that are in our facilities who are interfacing and providing care to our patients and community members to positively impact our mission of making communities healthier . How you'll contribute The Coding Quality and Education Review Specialist will review accounts for accurate and appropriate coding and/or 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. A Coding Quality and Education Review Specialist who excels in this role:

Requirements

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.

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.

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