Manager, Coding Compliance

Job Description - Manager, Coding Compliance )

Manager, Coding Compliance -

LifePoint Health Support Center

Description

The Manager, Coding Compliance, performs inpatient/outpatient coding and billing audits and other projects related to coding compliance. Completes audit assignments and other projects in fulfillment of Ethics and Compliance Department work plans. Educates facility staff on proper clinical coding, documentation and billing standards and rules.

• Performs coding compliance audits and special projects with minimal supervision.
• Demonstrates a thorough understanding of complex coding, reimbursement, health information management processes and auditing principles related to coding compliance.
• Develops compliance audit reports (memo, executive summary, audit findings and action plan)
• Provides educational support on coding, billing and documentation of hospital coding services.
• Demonstrates an understanding of the UB-04 and Remittance Advice as related to charging and payments of billable services.
• Stays abreast of coding and billing requirements and of the Company and Department policies and procedures to effectively apply this knowledge to complex coding compliance situations.
• Thinks proactively and recommends action for improving coding compliance.
• Works with Department leadership to improve Department processes, and to enhance overall compliance posture of the overall organization
• Communicates effectively with facility personnel and Company leadership regarding coding and documentation compliance matters.
• Maintains confidentiality in accordance with legal obligations and the Company Code of Conduct
• Demonstrates outstanding work ethic, and works cooperatively with all team members and clients with a can-do spirit and team attitude
• Performs other Department duties as assigned

• Associate or Bachelor degree in Health Information Management.
• RHIA, RHIT, CCS, CPC, CPC-H, credentials preferred.
• Minimum of 3-5 years of hospital coding, including knowledge of 3M coding/grouper.
• Knowledge of federal, state and payer-specific regulations and policies pertaining to documentation, coding and billing.
• Proficient with Microsoft software (Word, Excel and PowerPoint).
• Knowledge of Medicare reimbursement methodologies.
• Familiar with audit management techniques.
• Must be self‑motivated and have the ability to work within the established policies, procedures and practices prescribed by the Company and the immediate supervisor.
• Must work with deadlines and related time pressure.
• Knowledge of statistics, data collection, analysis, and data presentation
• Excellent interpersonal communication and problem‑solving skills
• Excellent written and oral communication skills.
• Travel 20% of the time.

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Requires prolonged sitting and some bending, stooping, and stretching. Requires eye‑hand coordination and manual dexterity sufficient to operate a keyboard, photocopier, telephone, calculator, and other office equipment. Requires normal range of hearing and eyesight to record, prepare, and communicate appropriate reports. Requires lifting papers or boxes up to 50 pounds occasionally. Work is performed in an office environment and involves frequent contact with staff and the public.

LifePoint Health, Inc. is an Equal Opportunity Employer

EOE Minorities/Females/Protected Veterans/Disabled

LifePoint Health is committed to being a place where employees want to work and takes seriously our responsibility to comply with all regulatory and legal guidelines throughout the recruitment and hiring process.

This job description in no way states or implies that the key accountabilities above are the only ones being performed by the individual(s) with this job description. The individual(s) may be called upon and required to follow or perform other duties and tasks requested by his or her supervisor, consistent with the purpose of the position, department and/or company objectives.