Compliance Educator - (Cert. Professional Coder) Candidates must reside in South Carolina

Corporate Compliance

Full Time

Day Shift

8am - 5pm, Mon-Fri

Consistently named best hospital, Lexington Medical Center dedicates itself to providing quality health services that meet the needs of its communities.

Ranked #1 in the Columbia metro area by U.S. News & World Report, Lexington Medical Center is the only hospital named one of the Best Places to Work in South Carolina.

The 607-bed teaching hospital anchors a health care network that includes six community medical centers and employs more than 8,700 health care professionals.

The network includes a cardiovascular program recognized by the American College of Cardiology as South Carolina's first HeartCARE CenterTM and an accredited Cancer Center of Excellence affiliated with MUSC Hollings Cancer Center for research and education.

The network also features an occupational health center, the largest skilled nursing facility in the Carolinas, an Alzheimer's care center and nearly 80 physician practices.

Its postgraduate medical education programs include family medicine and transitional year.

Job Summary

Provides compliance education to physicians and other applicable staff regarding documentation improvement opportunities for both facility and professional billing.

Researches, analyzes, and responds to inquiries regarding compliance, inappropriate coding, denials, and billable services in accordance with all federal and state regulatory guidelines while adhering to regulations prohibiting unbundling and other questionable practices.

Assists with compliance, documentation, and billing questions to ensure compliant coding and billing. Develops educational materials and trains and instructs and / or provides technical support to medical providers and appropriate staff to address issues or new requirements.

Helps identify areas for education opportunities based on industry performance, regulatory focus areas and risk areas within the organization.

Ensures strict confidentiality of financial records. Provides compliance conferences, workshops, webinars, and in-house sessions to convey updated information and changes in coding and / or regulations.

Assists Chief Compliance Officer with regulatory research and stays current on all updated or new regulatory issues. Provides monthly regulatory updates to Chief Compliance Officer and other departmental leaders.

Performs miscellaneous job-related duties as assigned. Reports directly to the Chief Compliance Officer.

Minimum Qualifications

Minimum Education : High School Diploma or Equivalent

Minimum Years of Experience : 7 Years of experience in coding medical office records

Substitutable Education & Experience (Optional) : 7 Years of experience can be substituted for an Associate's Degree in a Health Care field with 5 years of experience or a Bachelor's Degree with 3 years of experience.

Required Certifications / Licensure : Certified Professional Coder (CPC), CCS, RHIA®, RHIT®, CPMA, or CCS-P®

Required Training : Background in coding guidelines and regulatory laws for federal and state payors.

Essential Functions

• Treat patients, fellow employees and all individuals met while representing Lexington Medical Center with courtesy and respect, in keeping with the LMC vision.
• Strong verbal and written communication and presentation skills.
• Proficient computer skills in MS Word, Excel, Outlook, PowerPoint.
• Organizational skills and multitasking ability.
• Detail oriented with excellent follow-through.
• Ability to take initiative and work with minimal supervision.
• Ability to communicate and cooperate with employees of all levels
• Report results of compliance education to the Chief Compliance Officer. Educate physicians and staff as requested, advising them on appropriate coding for billing purposes.

Duties & Responsibilities

• Prepares or facilitates educational modules for physicians regarding the best coding methodologies.
• Adhere to organization wide policies.
• May travel to our locations throughout the organization.
• Must keep license or Coding Degree Current (Continuing education per approval of Director of AFS).
• Performs all other duties as assigned by the Compliance Officer.

We are committed to offering quality, cost-effective benefits choices for our employees and their families :

• Day ONE medical, dental and life insurance benefits
• Health care and dependent care flexible spending accounts (FSAs)
• Employees are eligible for enrollment into the 403(b) match plan day one. LHI matches dollar for dollar up to 6%.
• Employer paid life insurance equal to 1x salary
• Employee may elect supplemental life insurance with low cost premiums up to 3x salary
• Adoption assistance
• LHI provides its full-time employees employer paid short-term disability and long-term disability coverage after 90 days of eligible employment
• Tuition reimbursement
• Student loan forgiveness

Equal Opportunity Employer

It is the policy of LMC to provide equal opportunity of employment for all individuals, and to remain compliant with applicable state and federal laws and regulations.

LMC strives to provide a discrimination-free environment, and to recruit, select, on-board, and employ all employees without regard to race, color, religion, sex, age, disability, national origin, veteran status, or pregnancy, childbirth, or related medical conditions, including but not limited to, lactation.

LMC endeavors to upgrade and promote employees from within the hospital where possible and consistent with the employee's desires and abilities and the hospital's needs.