Job description
Lead Coding Specialist
As Rhode Island’s largest health system and private employer, Lifespan is dedicated to improving the health of the people within our communities. We seek a diplomatic and collaborative remote People
Analytics Specialist at our corporate headquarters in Providence, RI to Facilitate the deployment of people analytics methodologies used to drive key business decisions and investments across the Lifespan health system. We will rely on you to:
Professional Overview
- Reviews outpatient medical records covering complex disciplinary service lines to accurately identify all treated diagnoses and procedures performed reporting the correct ICD-10 CM/PCS code(s) in accordance with official coding guidelines.
- Ensures the medical record documentation supports the codes selected for the principal diagnosis, secondary diagnoses, complications, co-morbid conditions, procedures, and discharge disposition.
- Understands clinical documentation to recognize when a query to the physician is required.
Identifies and recommends physician queries when documentation in chart is incomplete, ambiguous or unclear.
- Maintains coding accuracy and productivity standards. Acts as a resource to coding staff on official coding principals and guidelines.
- Works collaboratively with denial management teams to correct coding related denials including medical necessity and modifier usage.
- Research payor policy and guidelines as it relates to coding and billing scenarios for the outpatient setting.
Qualifications
- Associate degree in health information technology or equivalent experience; Coding Certification required from coding certification program AAPC or AHIMA.
- Maintaining Coding Professional Credentials/competencies through internal and external educational opportunities.
- Minimum 3 years of experience outpatient coding. Working knowledge of EMR system, ICD-10
CM/PCS, CPT and HCPCS guidelines.
- Good written communication skills to prepare compliant physician queries.
Working at Lifespan
At Lifespan, we utilize a multidisciplinary team approach to medicine and provide the right blend of autonomy and collaboration. If you share our passion for providing the very best care in a supportive professional setting, join one of the nation’s Top 100 health systems. Consistently awarded Magnet® status in nursing care, Lifespan is committed to clinical excellence and devoted to our mission of delivering health with care. Lifespan is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, age, ethnicity, sexual preference or orientation, ancestry, genetics, gender identity or expression, disability, protected veteran or marital status. Lifespan is a VEVRAA Federal Contractor.
Job Type: Full-time
Pay: $28.00 - $36.00 per hour
Benefits:
- 401(k)
- Dental insurance
- Health insurance
- Life insurance
- Paid time off
- Vision insurance
Schedule:
- 8 hour shift
- Day shift
- Monday to Friday
Supplemental pay types:
- Bonus pay
Education:
- High school or equivalent (Required)
Experience:
- Documentation review: 3 years (Preferred)
- ICD-10: 3 years (Preferred)
License/Certification:
- AHIMA (Preferred)
Work Location: Remote
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