Coding Audit Specialist

Coding Audit Specialist in Denver, CO at Health Support Center

LifePoint Health was foundedin 1999 on the idea that everyone deserves quality healthcare close to home andthat strong healthcare creates strong communities.

We began with a network of23 hospitals in non-urban markets across the nation united by a singularmission: Making Communities Healthier.

We are a financially strong company with significanthealthcare operations expertise.

We recognize that every community has uniquehealthcare needs, and for more than 17 years, we have worked to ensure thehighest standards of quality care and excellent service to patients at each ofour locations by understanding and responding to these needs.

LifePoint has atrack record of investing in state-of-the-art technology, facilityimprovements, physician recruitment and staff development.

We give each of thefacilities and providers within our network the resources they need to deliverhigh quality care and services to their communities and succeed in today’shealthcare marketplace.

Job Description

LifePoint Health
– Health Support Center

Pacific Medical Data Solutions, a company of LifePoint Health, is a rapidly growing nationwide revenue cycle management services provider that has been offering high quality medical billing services since 2004.

Headquartered in the Denver Tech Center, we offer a rewarding work environment with career advancement opportunities while maintaining a small company, employee-focused atmosphere.

We are currently seeking a Coding Audit Specialist.

This remote-based position will spend the majority of the time auditing coders, educating coders, and working on various projects that involve coding and education.

You would be working in a team environment with guidance from the Audit Supervisor and Audit Manager.

This position also works closely with the Centralized Coding Unit and PMDS vendor partners.

The Coding Audit Specialist will 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

• Seeking Certified coder/auditor with a minimum of 3-5 years’ Pro-Fee coding experience.
• Experience with Provider Based and Rural Health but not required.
• Apply appropriate coding classification standards and guidelines to medical record documentation for accurate coding.
• Resolve medical record documentation deficiencies through healthcare provider query and provide routine feedback to correct deficiencies.
• Perform quality assessment of records, including verification of medical record documentation (both electronic and handwritten).
• Responsible for researching errors or missing documentation from medical record 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.

Job Requirements

ROLE REQUIREMENTS:

• 3-5 years medical coding Pro-Fee experience
• Minimum of one year of experience in coding audit or quality review work
  – required
• Coding Certification through AHIMA or AAPC
• Certifications: T he following certifications (or eligibility therefor):

• • CPC
  • CEMC
  • CPMA
  • CRC
  • CPB
  • Specialty certification
  • CCS-P
  • RHIT

KNOWLEDGE, SKILLS AND ABILITIES

• 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)
• High-school diploma (bachelor’s degree preferred)
• 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

WORK CONDITIONS

• Remote work position

Benefits

• Medical, Dental, and Vision
• 401k Retirement Plan
• PTO and Holiday Pay
• Flexible Working Hours
• Coding education during regular work hours (limied) with FREE CEUs towards CPC renewal

Pay range: $20/hour 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.

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.

“LifePoint Health” is a trade name used to refer to an organization of affiliated entities that own and operate hospitals and other healthcare providers in more than 80 communities.

LifePoint Health, Inc.

is a holding company only.

It does not own or operate hospitals or healthcare providers and does not have any employees.

When terms such as “LifePoint” or “LifePoint Health” or “we” or “us” are used herein, they refer to LifePoint Health, Inc.

and its operating subsidiaries.

When terms such as “hospital” or “provider” or “facility” are used herein, they refer to the hospitals or other healthcare providers that are wholly owned and operated by subsidiaries of LifePoint Health, Inc.

Finally, when terms such as “LifePoint employees” or “our employees” are used herein, they refer to individuals employed by subsidiaries of LifePoint Health, Inc.

Positions identified are with subsidiary hospitals and subsidiary physician practices of LifePoint Health, Inc.

Similarly, recruitment and placement services for these positions are conducted by subsidiaries of LifePoint Health, Inc.

Any applications received will be directed to the applicable entities.