Review Specialist, Coding Quality and Education - Remote
Company: Lifepoint Health Support Center
Location: Brentwood
Posted on: April 18, 2024
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Job Description:
Review Specialist, Coding Quality and Education -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:As a Review Specialist,
Coding Quality and Education you 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.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 EMRs.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.Equal
opportunity and affirmative action employers and are looking for
diversity in candidates for employment:
Minority/Female/Disabled/Protected Veteran
Keywords: Lifepoint Health Support Center, Franklin , Review Specialist, Coding Quality and Education - Remote, Education / Teaching , Brentwood, Tennessee
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