Responsible for accurate and timely billing of hospital and Rural Health Clinic (RHC) claims to insurance payers. This role focuses heavily on denial management, claim follow-up, and reimbursement optimization while ensuring compliance with payer contracts, federal regulations, and internal policies. Key Responsibilities Billing & Claims Submission - Prepare, review, and submit hospital and RHC claims to commercial insurance carriers. - Ensure correct use of CPT, HCPCS, ICD-10, revenue codes, modifiers, and RHC-specific billing requirements. - Verify charges, units, dates of service, provider credentials, and place of service. - Submit corrected, adjusted, and late charges as needed. Denial Management - Analyze and resolve billing denials, rejections, and underpayments. - Identify root causes of denials (coding, authorization, eligibility, medical necessity, bundling, timely filing, etc.). - Prepare and submit corrected claims and formal appeals with appropriate documentation. - Track denial trends and recommend process improvements to reduce future denials. Insurance Follow-Up - Conduct timely follow-up with payers on unpaid, underpaid, or delayed claims. - Communicate with insurance representatives to obtain claim status and resolution. - Maintain detailed notes and documentation in the billing system for all follow-up activity. - Meet productivity and follow-up benchmarks to ensure timely reimbursement. Compliance & Collaboration - Ensure compliance with payer guidelines, hospital policies, and RHC billing regulations. - Work closely with coding, registration, authorization, and clinical staff to resolve billing issues. - Stay current on payer policy updates and RHC billing changes. Required Skills & Qualifications - Knowledge of hospital and RHC billing processes. - Strong experience with insurance billing and denial resolution. - Proficiency in CPT, ICD-10-CM, HCPCS, and modifiers. - Familiarity with payer portals and claim management systems. - Strong analytical, organizational, and follow-up skills. - Ability to manage high-volume workloads with attention to detail. Business Support

Inpatient Coding Specialist – IRF Schedule: Monday-Friday. Full time, 40hrs per week. You will be scheduled to work assigned facility business hours. Generally, between the hours of 6am-6pm 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 We are Lifepoint’s Rehabilitation Services - IRF Coding Team! We support coding functions for our rehabilitation facilities within our Eastern, Mid-Western, and Western regions. We are a team of 12 total, looking for a new member to join our fully remote and collaborative team environment. We offer a robust training program to ensure you have the tools, knowledge, and support you need to be successful in this role. How you’ll contribute A IRF Centralized Coder who excels in this role: - Works remotely to code IRF records using current ICD coding version and within timeframe set by supervisor. - Maintains coding schedule as assigned by the Area Director. - Works closely with the PPS Coordinator/Outcomes Manager in assigning the Impairment Code for all admissions as well as other newly diagnosed conditions. - Serves as back-up for the hospital to transmit IRF PAIs in a timely manner for all Medicare inpatients. - Maintains confidentiality of all patient care information to ensure patient rights are protected. - Participates in continuing education classes and training programs. - Completes annual health, safety and education requirements. Maintains professional growth and development. - Maintains confidentiality of all patient and/or employee information to assure patient and/or employee rights are protected. - Demonstrates knowledge of the principles of growth and development over the life span and the skills necessary to provide age appropriate care to the patient population served. - Reports to work on time as scheduled; adheres to policies regarding notification of absence. - Attends all mandatory in-services and staff calls. - Represents the organization in a positive and professional manner. - Complies with all organizational policies regarding ethical business practices. - Works within the mission, vision, ethics and goals of the organization. - Maintains current licensure/certification for position, if applicable. - Consistently demonstrates Guest Relation’s skills to physicians, hospital employees and any other individuals with whom they may come in contact. - Consistently follows organizational and hospital Health, Safety, Security, Hazardous Materials policies and procedures. - HIPAA: Conduct job responsibilities in accordance with HIPAA privacy laws, follows organizational policies in provision of patient confidentiality. Able to identify patient confidentiality issues and reports to supervisor. - Compliance: Conducts job responsibilities in accordance with standards set forth in LifePoint’s Code of Conduct, LifePoint policy and procedures, applicable federal and state laws, and applicable standards. - Able to communicate effectively in English, both verbally and in writing. - Advanced computer knowledge. - Knowledge of basic office equipment. - Appropriate telephone communication skills 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 for full-time and part-time employees. - 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 - Certifications: RHIT, RHIA or coding certification (CCA, CCS) by AHIMA (American Health Information Management Association) or coding certification (CPC, CIC) by AAPC (American Academy of Professional Coders) required. - Experience: Minimum two years’ current experience in inpatient rehabilitation hospital coding (UB04 and IRF PAI). 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 authorized to work in the United States without 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.

• Independently reviews, assigns, and abstracts diagnostic and procedural codes • Performs validation of HWDRG reviews and maintains coding accuracy • Interacts with physicians and educators regarding coding decisions • Composes letters to providers explaining review details

Summary Job Description: Baptist Health is looking for an Epic IT Analyst- Op Time/Anesthesia to join our team! This is a remote position that requires residency in KY or IN Under general direction, responsible for application and integration of information technology in the healthcare setting. This position will serve as a liaison between the IT department and operations to align system design with operational processes. This includes data collection, workflow analysis, system configuration, testing, and support. Participates in application deployment and procedure documentation. Ensures that the software build meets organizational goals and external mandates such as HIPAA and Meaningful Use. Has technical knowledge of all phases of applications system analysis and project management. Acts as project coordinator for medium sized projects with medium budgets and may or may not have system-wide implications. Qualifications: - Bachelor’s degree or minimum of four years direct experience in lieu of degree. - Travel is required. Work Experience Education If you would like to be part of a growing family focused on supporting clinical excellence, teamwork and innovation, we urge you to apply now! Baptist Health is an Equal Employment Opportunity employer.