Revenue Integrity Coding Specialist

At Life Stance Health, we strive to help individuals, families, and communities with their mental health needs. Everywhere. Every day. It’s a lofty goal; we know. But we make it happen with the best team in mental healthcare. Thank you for taking the time to explore a career with us. As the fastest growing mental health practice group in the country, now is the perfect time to join our team!

Life Stance Health Values Belonging:
We cultivate a space where everyone can show up as their authentic self. Empathy:
We seek out diverse perspectives and listen to learn without judgment. Courage:
We are all accountable for doing the right thing - even when it's hard - because we know it's worth it. One Team:
We realize our full potential when we work together towards our shared purpose.

As a full-time employee of Life Stance Health, the following benefits are offered: medical, dental, vision, AD&D, short and long-term disability, and life insurance. Additional benefits include a 401k retirement savings with employer match, paid parental leave, paid time off, holiday pay and an Employee Assistance Program.

We are seeking a certified Revenue Integrity Coding Specialist to join our Shared Services team, supporting Revenue Cycle Management (RCM) and driving financial performance. The ideal candidate will have a strong working knowledge of CPT rules, ICD-10 guidelines, and payor reimbursement policies. This role involves practice pattern monitoring, claim scrubbing and payor audit management. The Revenue Integrity Coding Specialist will support revenue cycle with post-payment audits, pre-payment reviews, and claim-line rebuttals to dispute recoupment.

Emphasis is placed on preventative process measures for denial prevention, including claim scrubbing, detecting error trends, and working with stakeholders to solve root causes. We are a collaborative and supportive team with weekly touchpoints and professional development opportunities. Our data-driven approach makes us a great match for Revenue Integrity Coding Specialists interested in data analysis. This role reports to the Sr.

Manager, Revenue Integrity. This mission-driven role is crucial in ensuring access to quality mental health care by removing barriers for patients utilizing their healthcare benefits. By managing and executing non-clinical functions, this position allows clinicians to focus on providing exceptional patient care. Consistent with Life Stance’s values, every member of the Life Stance team is expected to support each other and the mission, which may mean participating in projects and initiatives and performing functions and responsibilities not specifically outlined in this job description.

This position is a remote role with the ability to sit within any US locality.

Compensation: $27.50- $33.00 Hourly with potential bonus

• Accelerate Revenue Cycle Management Business Objectives:
  Support high-value projects to move the business forward with its strategic goals.
• Improve Days Sales Outstanding (DSO) and Denial Rate through prompt troubleshooting.
• Respond to external charge code audits and improve payor audit resolution rates.
• Problem solves correctable coding errors reducing denials and revenue leakage.
• Research payer reimbursement guidelines and evaluates impact to coding practices.
• Leverage Intelligent Technology and Data Analysis:
  Leverage an advanced machine learning tool, for proactive detection of trends monitored by health plans.
• Identify exceptions and outliers, validate the machine learning output with manual review. Use PowerBI and Advanced Excel to identify and confirm trends.
• Notify state Medical and Clinical Leaders of opportunities to support documentation improvement for payer audits.
• Evaluate data and partner with Revenue Cycle Leader to enhance upstream intervention and downstream response to coding related denials and exclusions.
• Payer Audits:
  Execute the Coding Informatics Payer Audit Standardization initiative.
• Liaise between internal departments and external vendors to align on standard operating procedures for successful medical records submission.
• Monitor trends in payer audits to…