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Coding Auditing Supervisor

Job Description

LifePoint Health- Health Support Center

Pacific Medical Data Solutions 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 Supervisor.  This is a remote position and will be responsible for supervising a team of coding auditors, supporting the audit review and education process.   You would be working in a team environment with guidance from the Audit Manager. This position also works closely with the Centralized Coding Unit and PMDS 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

  • Supervise a team of auditors, reviewing their work for quality.
  • Provide clear, concise, and compliant written feedback to auditors.
  • Identify coder and/or documentation deficiencies and communicate them to the management team as needed.
  • Performs pre-bill audits for coding staff in order to maintain quality standards and offer feedback to management as well as staff. 
  • Participate in audit review and completion daily as defined by management, based on department needs.
  • 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 time-frames for client and department needs.
  • Collaborate in a team environment with the Department Manager and other staff on a regular basis.
  • Assist in certain client on-boarding projects from setup to go-live, as new clients are assigned.
  • Ensure compliance with all relevant regulations, standards, and laws.

Job Requirements

Qualifications and Skills

  • 3-5 years medical auditing experience
  • Minimum of one year of experience in coding audit or quality review work
  • Coding Certification through AHIMA or AAPC

Certifications: 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)
  • 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

Additional Functions

  • Coding, Charge Review, Charge Entry, Billing, Bill Out, Clearinghouse, Rejections, Denials

Benefits

  • Medical, Dental, and Vision
  • 401k Retirement Plan
  • PTO and Holiday Pay
  • Flexible Working Hours
  • Remote work opportunity

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.

Job Snapshot

Location US-CO-Denver
Employment Type Full-Time
Pay Type Year
Pay Rate N/A
Store Type Health Care
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Company Overview

Health Support Center

LifePoint Health was founded in 1999 on the idea that everyone deserves quality healthcare close to home and that strong healthcare creates strong communities. We began with a network of 23 hospitals in non-urban markets across the nation united by a singular mission: Making Communities Healthier. We are a financially strong company with significant healthcare operations expertise. We recognize that every community has unique healthcare needs, and for more than 17 years, we have worked to ensure the highest standards of quality care and excellent service to patients at each of our locations by understanding and responding to these needs. LifePoint has a track record of investing in state-of-the-art technology, facility improvements, physician recruitment and staff development. We give each of the facilities and providers within our network the resources they need to deliver high quality care and services to their communities and succeed in today’s healthcare marketplace. Learn More

Contact Information

US-CO-Denver
Snapshot
Health Support Center
Company:
US-CO-Denver
Location:
Full-Time
Employment Type:
Year
Pay Type:
N/A
Pay Rate:
Health Care
Store Type:

Job Description

LifePoint Health- Health Support Center

Pacific Medical Data Solutions 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 Supervisor.  This is a remote position and will be responsible for supervising a team of coding auditors, supporting the audit review and education process.   You would be working in a team environment with guidance from the Audit Manager. This position also works closely with the Centralized Coding Unit and PMDS 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

  • Supervise a team of auditors, reviewing their work for quality.
  • Provide clear, concise, and compliant written feedback to auditors.
  • Identify coder and/or documentation deficiencies and communicate them to the management team as needed.
  • Performs pre-bill audits for coding staff in order to maintain quality standards and offer feedback to management as well as staff. 
  • Participate in audit review and completion daily as defined by management, based on department needs.
  • 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 time-frames for client and department needs.
  • Collaborate in a team environment with the Department Manager and other staff on a regular basis.
  • Assist in certain client on-boarding projects from setup to go-live, as new clients are assigned.
  • Ensure compliance with all relevant regulations, standards, and laws.

Job Requirements

Qualifications and Skills

  • 3-5 years medical auditing experience
  • Minimum of one year of experience in coding audit or quality review work
  • Coding Certification through AHIMA or AAPC

Certifications: 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)
  • 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

Additional Functions

  • Coding, Charge Review, Charge Entry, Billing, Bill Out, Clearinghouse, Rejections, Denials

Benefits

  • Medical, Dental, and Vision
  • 401k Retirement Plan
  • PTO and Holiday Pay
  • Flexible Working Hours
  • Remote work opportunity

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.
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