Medical Coding Quality Analyst - Remote Position

Pacific Medical Data Solutions; Denver (CO); Remote; USD 65,000 - 80,000; Full time

Job summary

A forward-thinking company is looking for a Medical Coding Quality Analyst to join their remote team. In this role, you'll audit coders and educate staff while ensuring compliance with coding standards. You'll have the opportunity to work closely with a dedicated team and contribute to meaningful projects that enhance healthcare quality. This position offers a competitive salary, a comprehensive benefits package, and the chance to grow your career in a supportive environment. If you're passionate about coding and quality assurance, this role is tailored for you.

Benefits

401k

Flexible PTO

Medical Insurance

Dental Insurance

Vision Insurance

Tuition Reimbursement

Qualifications

• 5+ years of medical abstract coding/auditing experience.
• Coding certification through AHIMA or AAPC is required.

Responsibilities

• Apply coding standards and guidelines to medical records for accuracy.
• Perform quality assessments of records and coder work.

Skills

Medical Coding

Auditing

ICD-10 Coding

HCPCS / CPT Coding

Communication Skills

Organizational Skills

Education

Coding Certification (AHIMA or AAPC)

CCS Certification

PR Certification

HIT Certification

Job description

Medical Coding Quality Analyst - Remote Position

Company: Pacific Medical Data Solutions

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 provide a rewarding work environment with opportunities for career growth while maintaining a small, employee-focused atmosphere.

This is a fully remote position! You must reside in the United States.

We believe success is achieved through talented people. We aim to create workplaces where employees are motivated to work, with opportunities to pursue meaningful careers that make a difference in communities across the country.

We are seeking a Quality Analyst - Coding. The role involves auditing coders, educating staff, and working on projects related to coding and compliance, including RAC audits. You will work in a team environment under the guidance of the Quality Supervisor and Manager, Coding Quality, and collaborate closely with the Centralized Coding Unit and MGRI vendor partners.

Key Responsibilities:

1. Apply coding standards and guidelines to medical records for accuracy.
2. Perform quality assessments of records and coder work to ensure standards are met.
3. Educate coders and staff on coding guidelines.
4. Research errors or missing documentation to ensure accurate coding.
5. Abstract and assign ICD-10, HCPCS / CPT codes, including modifiers, for outpatient and inpatient settings.
6. Develop and maintain processes related to coding and billing for clients.
7. Manage time effectively to meet deadlines.
8. Collaborate with team members and ensure compliance with regulations.

Qualifications:

1. Minimum 5 years of medical abstract coding/auditing experience, with at least 3 years in coding audit or quality review.
2. Coding certification through AHIMA or AAPC.
3. Certifications such as CCS, PR, HIT, or others listed are preferred.
4. Strong organizational, communication, and technical skills.
5. Ability to learn new systems quickly and work independently.

We offer a comprehensive benefits package including 401k, flexible PTO, medical/dental/vision insurance, tuition reimbursement, and more. The pay range starts at $65,000/year, commensurate with experience, and the position is bonus eligible.

Lifepoint Health is an Equal Opportunity Employer, committed to diversity and inclusion in the workplace.

Work Schedule: Full-time, day shift, weekdays, 7-10 hours per shift.