Medical Coding Quality Analyst - Remote Position

Memorial Physician Practices; Denver (CO); Remote; USD 65,000 - 80,000; Full time

Job summary

Join a forward-thinking organization dedicated to enhancing healthcare through quality coding and auditing. This fully remote role offers the opportunity to make a significant impact by ensuring accurate coding practices and educating fellow coders. You will be part of a collaborative team that values your input and encourages professional growth. With a focus on community health, this position not only provides a competitive salary but also a comprehensive benefits package designed to support your well-being. If you are passionate about coding and looking for a fulfilling career, this is the perfect opportunity for you.

Benefits

401k

Flexible PTO

Medical Insurance

Dental Insurance

Vision Insurance

Tuition Reimbursement

Employee Assistance Program

Generous Employee Illness Benefit

Qualifications

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

Responsibilities

• Audit coders and educate them on coding guidelines.
• Perform quality assessments and ensure compliance with regulations.
• Collaborate with team members to enhance coding processes.

Skills

Medical Coding

Auditing

ICD-10 Coding

HCPCS/CPT Coding

Communication Skills

Organizational Skills

Customer Service

Technical Proficiency

Education

Coding Certification (AHIMA or AAPC)

5 years medical abstract coding/auditing experience

Tools

Microsoft Office

PM/EHR Software

Excel

Outlook

Job 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 always looking for people inspired to help us in our mission. If you are someone who wants to change the lives of patients, drive success for our partners and be part of a team driven to improve care, we may have your next opportunity.

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.

Perform Evaluation and Management coding, procedure, ICD-10 and HCPC quality reviews as well as other projects related to physician coding compliance. Demonstrates a thorough understanding of complex coding, and reimbursement, as they relate to physician practices and clinic settings. Keeps informed regarding current coding regulations, professional standards and company/department policies and procedures and effectively applies this knowledge.

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
  • CPB
  • Specialty certification
  • CCS-P
  • RHIT

• Ability to create and follow written procedure.
• 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.

Benefits

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