[Hiring] Medical Coding Quality Analyst @Lifepoint Health

Role Description

As a Quality Analyst, you will spend most 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 PSRI vendor partners.

• 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.
• Research errors or missing documentation from medical records 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

• Bachelor’s Degree preferred or equivalent experience.
• 5 years medical abstract coding/auditing Pro-Fee experience required.
• Minimum of 3 years’ experience in coding audit or quality review work required.

Requirements

• Auditing Certification through AAPC (CPMA) Required.
• Additional certifications (or eligibility therefor):
• CPC
• CEMC
• CRC
• CPB
• Specialty certification
• CCS-P
• RHIT

Benefits

• Comprehensive Benefits: Multiple levels of medical, dental and vision coverage — with medical plans starting at just $10 per pay period, tailored benefit options for part-time and PRN employees, and more.
• Financial Protection & PTO: Life, accident, critical illness, hospital indemnity insurance, short- and long-term disability, paid family leave and paid time off.
• Financial & Career Growth: Higher education and certification tuition assistance, loan assistance and 401(k) retirement package and company match.
• Employee Well-being: Mental, physical, and financial wellness programs (free gym memberships, virtual care appointments, mental health services and discount programs).
• Professional Development: Ongoing learning and career advancement opportunities.