Remote Medical Coding Quality Auditor

Memorial Physician Practices; Brentwood (TN); Remote; USD 46,000 - 58,000; Full time

Benefits offered by this job

Comprehensive Benefits

Financial Protection & PTO

Financial & Career Growth

Employee Well-being

Professional Development

Job summary

Lifepoint Health is seeking a Medical Coding Quality Analyst to audit coders, educate staff, and support RAC audits within a remote setting. You will work closely with the Quality Supervisor and the Centralized Coding Unit to ensure accurate ICD-10, HCPCS, and CPT coding across inpatient and outpatient records.

The ideal candidate has extensive coding/auditing experience, CPC/CPMA certifications, and a commitment to compliance with coding standards and regulations.

Qualifications

• Education: Bachelor's Degree preferred or equivalent experience.
• Experience: 5 years medical abstract coding/auditing Pro-Fee experience required. Minimum of 3 years' experience in coding audit or quality review work required.
• Certifications: Auditing Certification through AAPC (CPMA) Required; Additional certifications (or eligibility therefor): CPC, CEMC, CRC, CPB, Specialty certification, CCS-P, RHIT

Responsibilities

• 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.

Skills

Auditing

Quality assurance

Medical coding

Education

Bachelor's degree or equivalent experience

CPMA Certification

CPC

CEMC

CRC

CPB

CCS-P

RHIT

Specialty certification

Job description

Lifepoint Health is seeking a Medical Coding Quality Analyst to audit coders, educate staff, and support RAC audits within a remote setting. You will work closely with the Quality Supervisor and the Centralized Coding Unit to ensure accurate ICD-10, HCPCS, and CPT coding across inpatient and outpatient records.

The ideal candidate has extensive coding/auditing experience, CPC/CPMA certifications, and a commitment to compliance with coding standards and regulations.