Coding Compliance Educator - REMOTE

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Posted 13 days ago United States Salary undisclosed
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Job Description

Coding and CDI
Full Time
AM Shift

Voted one of South Carolina's "Best Places to Work" for 2019, the Lexington Medical Center Physician Network includes more than 450 physicians and advanced practice providers at 75 locations across the Midlands.

From general medicine and orthopedics to oncology and neurosurgery, these dedicated physicians, specialists and surgeons combine the highest quality care with advanced medicine and state-of-the-art technology to help patients achieve the best possible outcomes. As the third largest employer in the Midlands, we invite you to be a part of our ongoing success and join our LMC Family.

Job Summary

***Candidate must reside in the State of South Carolina upon hire.*** Perform coding audits to determine that all coding and billing remains compliant and meets all federal and state guidelines (i.e. Medicare/ Medicaid). Assist in development, implementation and maintenance of provider and coder education. Functions as a coding and documentation resource for the LMC Physician Network.

Minimum Qualifications

  • Minimum Education: Bachelor's Degree in Health Information, Business, or a related field
  • Minimum Years of Experience: 3 Years of coding experience
  • Substitutable Education & Experience: A Bachelor's Degree can be substituted for one of the following combinations: High School Diploma with 3 years of additional experience; Associate's Degree with 1 year of additional experience.
  • Required Certifications/Licensure: Must have one of the following: CPC, CPMA, COC, CCS-P, CCS, RHIA, RHIT or other specialty credential with Director approval; Must have experience working with CPT, ICD diagnosis coding, E/M Documentation Guidelines (1995/1997), CCI edits, Medicare LCDs and NCDs, state and federal regulations as well as payor billing requirements; Must be computer literate. Must have experience with Microsoft applications (i.e., Word, Excel). Experience with electronic health records software required.
  • Required Training: None

Essential Functions

  • Treat patients, fellow employees and all individuals met while representing Lexington Medical Center with courtesy and respect, in keeping with the LMC vision.
  • Review claims generated by LMC owned physicians and coders for adherence to established coding guidelines supported by adequate documentation.
  • Utilize chart audit software to analyze audit results, identifying physicians and coders coding outside of established norms.
  • Report results of audit findings to the Director of Professional Coding and appropriate Physician Practice Directors, Office Managers and Compliance as needed.

Duties & Responsibilities

  • Directly educate physicians and staff as requested, advising them on appropriate coding for billing purposes.
  • Prepare or facilitate educational programs for physicians and coders regarding the best coding methodologies.
  • Works as a team with physicians, coding staff and other personnel to ensure proper and accurate code assignment and continuous quality improvement.
  • Identifies charge capture opportunities and assists with implementation of coding and billing processes.
  • Adheres to all District policies.
  • Must keep license or Coding Degree Current (Continuing education per approval of Director of Coding).
  • Performs all other duties as assigned.

We are committed to offering quality, cost-effective benefits choices for our employees and their families:

  • Day ONE medical, dental and life insurance benefits
  • Health care and dependent care flexible spending accounts (FSAs)
  • Employees are eligible for enrollment into the 403(b) match plan day one. LHI matches dollar for dollar up to 6%.
  • Employer paid life insurance - equal to 1x salary
  • Employee may elect supplemental life insurance with low cost premiums up to 3x salary
  • Adoption assistance
  • LHI provides its full-time employees employer paid short-term disability and long-term disability coverage after 90 days of eligible employment
  • Tuition reimbursement
  • Student loan forgiveness

Equal Opportunity Employer
It is the policy of LMC to provide equal opportunity of employment for all individuals, and to remain compliant with applicable state and federal laws and regulations. LMC strives to provide a discrimination-free environment, and to recruit, select, on-board, and employ all employees without regard to race, color, religion, sex, age, disability, national origin, veteran status, or pregnancy, childbirth, or related medical conditions, including but not limited to, lactation. LMC endeavors to upgrade and promote employees from within the hospital where possible and consistent with the employee's desires and abilities and the hospital's needs.