Job Description

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:

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.

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.

Qualifications - External

What you’ll need:

• 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.

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.

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