Overview
The Physician Services 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 Centralized Coding Manager. The Centralized Coding Manager is responsible for providing first-line supervision for Medical Coding staff both on shore and off shore. This may include Coding Assistants, Medical Coder I, II, III, and Team Leads. Manager responsibilities include but are not limited to daily supervision and monitoring of quality, productivity, performance, and any discipline of staff. The Coding workforce is predominantly remote. This position also involves participation in process improvement projects, supporting the work needed to meet department and institutional goals. This position requires a high degree of collaboration with Revenue Cycle, Education, Quality, and market staff. This position also requires managing a high volume of charges to include inventory monitoring, coding, and reconciliation of monthly charges. You will concentrate on the evaluation and improvement of processes and workflows for optimization and compliance.
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*
* Recommends appropriate charge capture work flow or service posting steps to ensure accurate revenue generation and may discuss the assignment of specified codes for medical diagnoses and/or clinical procedures with physicians or other providers.
* Interacts with physicians and other providers regarding billing and documentation policies and procedures.
* Analyzes and interprets patient medical records to identify and determine amount and nature of billable services; assigns and sequences appropriate diagnostic/procedure billing codes in compliance with requirements of third-party payor requirements
* Requires a learning and understanding of all aspects of Provider Based and Rural Health billing.
* Interacts with physicians and other patient care providers both orally and in writing regarding billing and documentation policies, procedures, and regulations to ensure receipt and analysis of all charges; obtains clarification of conflicting, ambiguous, or non-specific documentation; as well as with Department leaders regarding implementation of new codes and revision of charge documents.
* Monitors billing performances to ensure optimal reimbursement while adhering to regulations prohibiting unbundling and other questionable practices; prepares periodic (at least monthly) reports for clinical staff identifying unbilled charges due to inadequate documentation; and research inquiries from providers and patients about fees, reimbursements, and denials.
* Follows established departmental policies, procedures, and objectives, continuous quality improvement objectives, and safety and environmental standards.
* Manage time effectively to meet all required deadlines and timeframes for department needs.
* Collaborate in a team environment with the Director and other staff on a regular basis.
* Ensure compliance with all relevant regulations, standards, and laws.
*Qualifications and Skills*
3-5 years medical coding experience
Minimum 2 years experience in a leadership role
Multi-specialty experience preferred
Coding Certification through AHIMA or AAPC
*Certifications:*/Two of the following certifications (or eligibility therefor):/ · CPC
* 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*
Charge Review, Charge Entry, Billing, Bill Out, Clearinghouse, Rejections, Denials, Coding
* *
*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 Thefinal 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.
**Job:** **Please select a valid job field*
**Organization:** **Pacific Medical Data Solutions*
**Title:** *Coding Manager *REMOTE WORK**
**Location:** *Colorado-Denver*
**Requisition ID:** *7410-7631*
