Job Summary
- Company
- LifePoint Hospitals, Inc.
- Location
- Brentwood, TN 37027
- Industries
- Healthcare Services
- Job Type
- Full Time
- Employee
- Years of Experience
- 5+ to 7 Years
- Education Level
- Bachelor's Degree
- Career Level
- Manager (Manager/Supervisor of Staff)
Manager, Coding Compliance-Physician Services
About the Job
Performs coding audits and other projects related to coding compliance. Completes audit assignments and other projects in fulfillment of Physician Services department work plans. Demonstrates a thorough understanding of complex coding, reimbursement, and health information management processes, and auditing principles. Communicates with engagement team and client management teams regarding complex coding and auditing issues and current coding regulations. Keeps informed regarding current coding regulations, professional standards and company/department policies and procedures and effectively applies this knowledge.
General Responsibilities:
1. Implements audit engagements including scheduling and undertaking audit fieldwork with minimal supervision.
2. Analyzes data, identifies issues, reaches conclusions, and proposes strategies for resolution of complex coding issues.
3. Prepares working papers, reports and memoranda regarding coding compliance matters and audit results.
4. Develops and maintains spreadsheet data related to coding and documentation compliance.
5. Coordinates staffing needs to meet department work plan requirements while maintaining audit accuracy.
6. Communicates effectively with operations personnel and company leadership regarding coding and documentation compliance matters.
7. Serves as a trusted business advisor by providing facility personnel with professional advice and best practice information regarding coding compliance.
8. Mentors staff and other department and practice management personnel at the request of department leadership.
9. Provides input and guidance in the development and review of detailed audit programs and reports to improve audit effectiveness and efficiency.
10. Assists in developing and executing department educational plans related to coding matters.
11. Monitors and reports to company leadership including the corporate compliance committee matters related to coding compliance.
12. Develops procedures manual for all major processes under area of responsibility.
13. Maintains coding expertise in assigned areas; including research, keeping updated on regulatory changes, and informing/educating other coding compliance team members.
14. Undertakes continuous education to maintain technical coding, HIM, auditing and management skills consistent with the company and department's professional development requirements and individual credentials.
Minimum Qualifications (Experience, Education and Special Certifications)
- Associates Degree in Health Information Technology
- RHIT
- CPC Certification
- Two years of Physician Practice coding experience or equivalent.
- Travel 60%-70% of the time
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Contact Information
LifePoint Hospitals, Inc.
