Manager, Coding and Integrity Position Available In Williamson, Tennessee

Who we are: At Lifepoint Health, we provide quality healthcare to rural communities. As a valued member of our team, you will be an integral part of a group working together to elevate Lifepoint’s healthcare delivery network. €¯ Our network includes 60+ community hospitals, 60+ rehabilitation/behavioral health hospitals, and 250 additional sites of care across the United States. €¯ As an organization, we are dedicated to serving communities nationwide by providing exceptional care. We believe in the power of our talented teams and strive to create environments where employees find purpose and fulfillment. What you’ll do: As a Manager, Coding and Integrity, you will be €¯ responsible for providing first-line supervision for Medical Coding staff both on shore and off shore. This may in-clude 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 par-ticipation 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, Educa-tion, 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.

ESSENTIAL FUNCTIONS

To perform this job, an individual must perform each essential function satisfactorily with or without a reasonable accommodation.

• Seeking Certified Pro-Fee with a minimum of 3-5 years’ coding experience.
• At least two years in a leadership role.
• Multi-specialty experience preferred.
• Recommends appropriate charge capture work flow or service posting steps to ensure ac-curate 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 na-ture 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 analy-sis of all charges; obtains clarification of conflicting, ambiguous, or non-specific documenta-tion; as well as with Department leaders regarding implementation of new codes and revi-sion of charge documents.
• Monitors billing performances to ensure optimal reimbursement while adhering to regula-tions prohibiting unbundling and other questionable practices; prepares periodic (at least monthly) reports for clinical staff identifying unbilled charges due to inadequate documenta-tion; 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.

What you’ll need:

Education:

High school diploma or equivalent required. Bachelor’s Degree preferred or equivalent experience

Experience:

€¯ 3-5 years medical coding experience

License/Certifications:

Coding Certification through AHIMA or AAPC The following certifications preferred (or eligibility therefor): o CPC o CEMC o CPMA o CRC o CPB o Specialty certification o CCS-P o RHIT Work environment and travel requirements: Remote work You may be asked to travel once or twice a year for department meeting.

Why choose us:

As a team member of the Health Support Center, our goal is to support those that are in our facilities who are interfacing and providing care to our patients and community members. Our focus is to attract, retain, and empower a diverse and determined workforce. Our mission statement is at the heart of who we are and what we do: “Making Communities Healthier.” In this shared mission, we believe that our collective efforts will shape a healthier future for the communities we serve.

Benefits:

€¯ We offer an excellent total compensation package, including a competitive salary and benefits. Some of our benefits include 401k, flexible PTO, 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.