Medical Coding Quality Analyst - Remote Position

LifePoint Health; Denver (CO); Remote; USD 65,000 - 80,000; Full time

Job summary

An established industry player is seeking a dedicated Medical Coding Quality Analyst to join their remote team. In this role, you will be responsible for auditing and educating coders, ensuring compliance with coding standards, and enhancing the quality of medical record documentation. This position offers a supportive environment where you can thrive and contribute to the mission of making communities healthier. With a focus on career advancement and a comprehensive benefits package, this opportunity is perfect for individuals looking to make a meaningful impact in the healthcare sector while enjoying the flexibility of remote work.

Benefits

401k

Flexible PTO

Medical Insurance

Dental Insurance

Vision Insurance

Tuition Reimbursement

Employee Assistance Program

Generous Employee Illness Benefit

Qualifications

• 5+ years of medical abstract coding/auditing experience required.
• Coding Certification through AHIMA or AAPC is mandatory.
• Strong technical and computer skills are essential.

Responsibilities

• Audit coders and educate them on coding guidelines.
• Perform quality assessments of medical records and coder work.
• Collaborate with the team to ensure compliance and accuracy.

Skills

Medical Abstract Coding

Auditing

ICD-10 Coding

HCPCS/CPT Coding

Communication Skills

Organizational Skills

Customer Service

Technical Proficiency

Education

Coding Certification (AHIMA or AAPC)

5 years of Medical Coding Experience

3 years of Coding Audit Experience

Tools

PM/EHR Software

Microsoft Office Suite

Excel

Outlook

Job description

Job Description - Medical Coding Quality Analyst - Remote Position (7410-7957)

Company: Pacific Medical Data Solutions

Description:

The Medical Group 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 currently seeking a Quality Analyst - Coding. The Quality Analyst will spend the majority 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 MGRI vendor partners.

Responsibilities and Duties:

• 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.

Qualifications and Skills:

• 5 years medical abstract coding/auditing Pro-Fee experience required.
• Minimum 3 years experience in coding audit or quality review work required.
• Coding Certification through AHIMA or AAPC.

Certifications:

• Two of the following certifications (or eligibility therefor): CPC, CEMC, CPMA, CRC, Specialty certification, CCS-P, RHIT.

Additional Skills:

• Ability to create and follow written procedures.
• Ability to provide professional written communication and excellent customer service.
• Technical proficiency with computers, basic Microsoft software, and medical software systems (PM/EHR).
• 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.

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: $65,000/yr and up, DOE. 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.

Job Schedule:

Full-time, Day shift, 7-10 hr/shift, weekdays only.