Coding Consultant
HEALTHCARE CODING CONSULTANT
OPPORTUNITY
This Coding Consultant role is a great opportunity for candidates with a medical coding background who are interested in joining a high-growth healthcare consulting team. Projects will encompass client operations across a range of industries and hires will have the opportunity to work on a diverse set of client engagements. Preference will be given to candidates local to the Knoxville and Nashville areas but remote work is offered across all LBMC service lines for qualified candidates.
SCOPE OF WORK
- Conducts project-based coding and documentation reviews for a wide array of medical specialties to ensure compliance with regulatory standards as directed by management and produces detailed written summary audit report(s) of overall findings and recommendations.
- Verifies appropriateness of accurate Current Procedural Terminology (CPT) code assignment and affirms Evaluation and Management (E/M) service level code designation supports the medical service being reviewed in accordance with the standards set forth by the Centers for Medicare and Medicaid (CMS).
- Maintains up-to-date knowledge of all coding guidelines and regulations, to include, but not be-limited-to, the American Medical Association (AMA) and CMS (collectively, Guidelines), and implements department-wide protocol changes when necessary.
- Coordinates and performs provider coding education in both individual and group settings. This includes the preparation and presentation of audit findings in professional presentation format.
- Works diligently building relationships with key stakeholders at client organizations to continue to foster a long-term partnership between the LBMC Healthcare Consulting Department and external clients. High-performing individuals will be alert to client needs for the possible expansion of services to other LBMC service lines
- Adheres to LBMC’s defined processes and procedures including the firm's policy on privacy and client confidentiality. Knows and follows the rules, regulations, and the Code of Professional Conduct of the AICPA, the Tennessee Society of CPAs, the Tennessee Board of Public Accountancy, and other regulating bodies as appropriate.
IDEAL CANDIDATE PROFILE
- Has their certification through AAPC as a Certified Professional Coder (CPC) or through AHIMA as a Certified Coding Specialist-Physician-based (CSS-P)
- 3+ years of medical coding experience
- Prior advisory or consulting experience
- Proficient in researching and responding to Business Office questions related to coding and/or payer-specific coding guidelines.
- Ability to use office equipment and automated systems/applications/software at an acceptable level of proficiency
- High school graduate or equivalent is required