Senior Analyst, Physician Coding Quality in Brentwood, TN at LifePoint Health

Date Posted: 1/12/2021

Job Snapshot

Job Description

LifePoint Health- Health Support Center

The Senior Analyst, Physician Coding Quality performs guidance on Evaluation and Management guidelines, new service line education, new specialty coding assistance, CPT coding changes and updates, HCC documentation, and assists with quality reviews as well as other projects related to physician coding compliance. Educates physicians and clinic staff on proper clinical coding and documentation standards and rules. Demonstrates a thorough understanding of complex coding, reimbursement, and auditing principles 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.

Oversees the prospective guidance/training to new physician, practitioners, billers, and coders in a timely manner, prior to quality reviews being conducted.

Stays up to date on all coding changes and helps to prepare coding tools and educational material so practices are up to date on coding specific information that affects the practices.

Assist in educating coders/billers of code changes.

Assist and conduct prospective education based on quality review findings as needed.

Assist and conduct quality reviews as needed/requested.

Regular and reliable attendance at meetings.

Perform other duties as assigned.

Additional Information:

Position serves both internal co-workers and external physician practice providers, coders, and billers.

Access to and/or works with sensitive and/or confidential information.

Exhibit a [comprehensive] understanding of healthcare regulatory and compliance (e.g., HIPAA).

SUPERVISORY RESPONSIBILITIES:

Not responsible for supervising employees.

Job Requirements

KNOWLEDGE, SKILLS & ABILITIES: The requirements listedbelow are representative of the knowledge, skills and/or abilities required.

Education: High SchoolDiploma or GED equivalent

Experience: 3+years of experience

Certifications: Two of the following certifications (oreligibility therefor):

  • CPC
  • CEMC
  • CPMA
  • CRC
  • CPB
  • Specialty certification
  • CCS-P
  • RHIT

Skills and Abilities:

Business Mathematical Skills -- Ability to add,subtract, multiply, and divide in all units of measure, using whole numbers,common fractions, and decimals. Ability to compute rates, ratios, andpercentages and to draw and interpret graphs.

Moderate Computers Skills -- Frequent use ofelectronic mail, word processing, data entry, spreadsheets, graphics, etc.Ability to create, maintain and incorporate simple functions into documents,spreadsheets, databases, and presentations to support business objectives.

Organizational Communication -- Handlesbroad-based complex information across departments with company-wide impact.Presents to diverse audiences, and can negotiate, motivate and persuade others.

Department Specific Impact -- Decisions impactthe management and operations within a department. May contribute to businessand operational decisions that affect the department.

Routine Business Problems -- Problemsencountered are routine, somewhat repetitive and generally solved by followingclear directions and procedures.

Organizational Judgement -- Sets direction andvision for major departments or multiple departments. Establishes priorities,develops policies and allocates resources for LifePoint.

Project Management -- Handle multiple projectssimultaneously including task delegation, project oversight, and resourceallocation.

PHYSICAL AND MENTAL DEMANDS:

The physical demands described here arerepresentative of those that must be met by an employee to successfully performthe essential functions of this job. Reasonable accommodations may be made to enable individuals withdisabilities to perform the essential job responsibilities.

While performing the duties of this job, theemployee is occasionally required to stand; walk; sit for extended periods oftime; use hands to finger, handle, or feel objects, tools or controls; reachwith hands and arms; climb stairs; balance; stoop, kneel, bend, crouch orcrawl; talk or hear; taste or smell.  Theemployee must occasionally lift and/or move up to 20 pounds.  Repetitive motion of upper body required forextended use of computer. Required specific vision abilities include closevision, distance vision, color vision, peripheral vision, depth perception, andthe ability to adjust focus.

 

WORK ENVIRONMENTAND TRAVEL REQUIREMENTS:

Work environmentcharacteristics described here are representative of those that an employee mayencounter while performing the essential functions of this job.  Reasonable accommodations may be made toenable individuals with disabilities to perform the essential jobresponsibilities.

Works in well-lit,ventilated and climate controlled office environment with routine officeequipment; some equipment has moving mechanical parts.

In hospital environment,may be exposed to hazards and unusual elements, which may include but are notlimited to bloodborne pathogens and / or contagious illnesses, toxic chemicals,and biohazardous materials which may require extensive safety precautions andthe use of protective equipment.

Noise level in the workenvironment is typical for an office and/or hospital environment.

Minimum overnight travel(up to 10%) by land and/or air



Equal opportunity and affirmative action employers and are looking for diversity in candidates for employment: Minority/Female/Disabled/Protected Veteran