Medical Coding Quality Analyst

Lifepoint Health•Brentwood, TN

3d•Remote

About The Position

As a Quality Analyst, you will spend most of the time auditing coders, educating coders, and working on various projects that involve coding and education including RAC audits. You would be working in a team environment with guidance from the Quality Supervisor and Manager, Coding Quality. This position also works closely with the Centralized Coding Unit and PSRI vendor partners.

Requirements

Bachelor’s Degree preferred or equivalent experience
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 certifications (or eligibility therefor): CPC CEMC CRC CPB Specialty certification CCS-P RHIT
Work authorized in the United States without the need for employer sponsorship

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.