Remote Optum Medical Coding Jobs in Gallatin, TN

Medical Coding Quality Analyst

Schedule: Monday-Friday, 40hrs per week. 8am-5pm in your time zone.

Job Location Type: Remote

Your experience matters 

At Lifepoint Health, we are committed to empowering and supporting a diverse and determined workforce who can drive quality, scalability, and significant impact across our hospitals and communities. As a member of the Health Support Center (HSC) team, you'll support those that are in our facilities who are interfacing and providing care to our patients and community members to positively impact our mission of making communities healthier .

More about our team 

As a Quality Analyst, you will spend most of the time auditing coders, educating coders, and working on various projects that involve coding and education including RAC audits. You would be working in a team environment with guidance from the Quality Supervisor and Manager, Coding Quality. This position also works closely with the Centralized Coding Unit and PSRI vendor partners.

How you'll contribute 

A Medical Coding Quality Analyst who excels in this role:

• Apply appropriate coding classification standards and guidelines to medical record documentation for accurate coding.
• Perform quality assessment of records, including verification of medical record documentation (both electronic and handwritten).
• Perform quality assessments of coders completed work to validate standards are met. 
• Educate coders and other staff on appropriate coding guidelines. 
• Responsible for researching errors or missing documentation from medical records in order to provide accurate coding processes.
• Abstract and assign the appropriate ICD-10, HCPCS/CPT codes; including Level I & Level II modifiers as appropriate for all diagnosis and procedures performed in outpatient and inpatient settings.
• Assist in the development and ongoing maintenance of processes and procedures for each assigned client revolving around system use, billing/coding rules, and client specific guidelines.
• Manage time effectively to meet all required deadlines and timeframes for client and department needs.
• Collaborate in a team environment with the Department Manager and other staff on a regular basis.
• Ensure compliance with all relevant regulations, standards, and laws.

Why join us 

We believe that investing in our employees is the first step to providing excellent patient care. In addition to your base compensation, this position also offers: 

• Comprehensive Benefits: Multiple levels of medical, dental and vision coverage - with medical plans starting at just $10 per pay period - tailored benefit options for part-time and PRN employees, and more.

• Financial Protection & PTO: Life, accident, critical illness, hospital indemnity insurance, short- and long-term disability, paid family leave and paid time off.

• Financial & Career Growth: Higher education and certification tuition assistance, loan assistance and 401(k) retirement package and company match.

• Employee Well-being: Mental, physical, and financial wellness programs (free gym memberships, virtual care appointments, mental health services and discount programs).

• Professional Development: Ongoing learning and career advancement opportunities.

What we're looking for 

• Education: Bachelor's Degree preferred or equivalent experience
• Experience: 5 years medical abstract coding/auditing Pro-Fee experience required. Minimum of 3 years' experience in coding audit or quality review work required.
• Certifications: Auditing Certification through AAPC (CPMA) Required
• Additional certifications (or eligibility therefor):
  • CPC
  • CEMC
  • CRC
  • CPB
  • Specialty certification
  • CCS-P
  • RHIT

Salary range: $46,082.00-$57,602 per year. The final agreed upon compensation is based on individual education, qualifications, experience, and work location.

EEOC Statement

"Lifepoint Health is an Equal Opportunity Employer. Lifepoint Health is committed to Equal Employment Opportunity for all applicants and employees and complies with all applicable laws prohibiting discrimination and harassment in employment."

You must be work authorized in the United States without the need for employer sponsorship"

Lifepoint Health is a leader in community-based care and driven by a mission of Making Communities Healthier. Our diversified healthcare delivery network spans 29 states and includes 63 community hospital campuses, 32 rehabilitation and behavioral health hospitals, and more than 170 additional sites of care across the healthcare continuum, such as acute rehabilitation units, outpatient centers and post-acute care facilities. We believe that success is achieved through talented people. We want to create places where employees want to work, with opportunities to pursue meaningful and satisfying careers that truly make a difference in communities across the country.We employ and provide care to people from all walks of life. We are committed to promoting healing, providing hope, preserving dignity and producing value with an inclusive workforce in which diversity is leveraged, respected, and reflective of the patients, family members, customers and team members we serve.