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Senior Specialist - Inpatient (IP) Coding QA

Role overview

Qualifications

  • Minimum 5 years of inpatient medical coding experience, including exposure to multiple specialties
  • Holds at least one relevant certification: CCS, CIC
  • Strong knowledge of CMS guidelines, MS-DRG/APR-DRG and Inpatient Prospective Payment System (IPPS)
  • Proficiency with coding software such as Epic, Cerner, Meditech, and 3M 360

Responsibilities

  • Conduct internal quality audits focused on inpatient medical coding to ensure accuracy, compliance, and adherence to official coding guidelines
  • Identify coding errors and improve coding efficiency
  • Provide educational feedback to coders
  • Collaborate with operations and training teams to maintain high standards of coding quality and compliance with payer policies and regulatory requirements

Key facts

  • Remote from: Philippines
  • Full time
  • Senior (5-10 years)
  • English

Other skills

  • Collaboration
  • Problem Solving
  • Detail Oriented
  • Communication

About the company

Harris Regional Hospital - A Duke LifePoint Hospital logo

Harris Regional Hospital - A Duke LifePoint Hospital

Hospitals & Health Care

Harris Regional Hospital, established in 1925, is an 86-bed acute and specialty care facility serving Western North Carolina with more than 100 physicians practicing in locations throughout a multi-county region, including Harris Regional Hospital Medical Park of Franklin, an outpatient facility in Macon County. LifePoint Health (NASDAQ: LPNT) is a leading healthcare company dedicated to Making Communities Healthier®. Through its subsidiaries, it provides quality inpatient, outpatient and post-acute services close to home. LifePoint owns and operates community hospitals, regional health systems, physician practices, outpatient centers, and post-acute facilities in 22 states. It is the sole community healthcare provider in the majority of the non-urban communities it serves. More information about the company can be found at www.LifePointHealth.net. All references to "LifePoint,"​ "LifePoint Health"​ or the "Company"​ used in this release refer to affiliates or subsidiaries of LifePoint Health, Inc.

Company details

IndustryHospitals & Health Care
Company size501 - 1000

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Job description

As an Inpatient Coding Quality Reviewer, you will be responsible for conducting
internal quality audits focused on inpatient medical coding to ensure accuracy,
compliance, and adherence to official coding guidelines.
This role emphasizes identifying coding errors, improving coding efficiency, and
providing educational feedback to coders. You will collaborate with operations and
training teams to maintain high standards of coding quality and compliance with
payer policies and regulatory requirements
Qualifications:
  • Minimum 5 years of inpatient medical coding experience, including exposure to multiple specialties.
  • Holds at least one relevant certification: CCS, CIC
  • Strong knowledge of CMS guidelines, MS-DRG/APR-DRG and Inpatient Prospective Payment System (IPPS).
  • Proficiency with coding software such as Epic, Cerner, Meditech, and 3M 360.
Working in an evolving healthcare setting, we use our shared expertise to deliver innovative solutions. Our fast-growing team has opportunities to learn and grow through rewarding interactions, collaboration and the freedom to explore professional interests.
Our associates are given valuable opportunities to contribute, to innovate and create meaningful work that makes an impact in the communities we serve around the world. We also offer a culture of excellence that drives customer success and improves patient care. We believe in giving back to the community and offer a competitive benefits.
What’s in it for you?
• Competitive Total Rewards Package
• Target variable incentives
• Medical Plan (HMO) from Day 1 of employment with free dependents
• Life insurance
• Paid Time-Off Benefits
• Sick Leave Conversion
• Night Differential offered
• Employee Referral Program
• All Mandatory Statutory Benefits
R1 RCM Inc. (“the Company”) is dedicated to the fundamentals of equal employment opportunity. The Company’s employment practices , including those regarding recruitment, hiring, assignment, promotion, compensation, benefits, training, discipline, and termination shall not be based on any person’s age, color, national origin, citizenship status, physical or mental disability, medical condition, race, religion, creed, gender, sex, sexual orientation, gender identity and/or expression, genetic information, marital status, status with regard to public assistance, or any other characteristic protected by local law. Furthermore, the Company is dedicated to providing a workplace free from harassment based on any of the foregoing protected categories.
#R1Philippines #AllTogetherBetterinR1PH

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Marcus Rivera

Chief Revenue Officer

m.rivera@company.com
linkedin.com/in/marcusrivera
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