Your job is more than a job This position contributes to LCMC Health's financial strength, compliance and overall performance by serving as the System Manager Hospital Outpatient Coding. This manager is responsible for assisting in the development and evolution of the overall strategy of hospital coding operations. Maintains expert working knowledge of coding and classification systems used in health care to include ICD-10CM, HCPCS, CPT and APCs. In addition, the Hospital OP Coding System Manager is responsible for allocating work assignments for claim edits which include the Outpatient Code Editor (OCE), National Correct Coding Initiative (NCCI) and Medicare Code Editor (MCE). The manager serves as a liaison and coordinator for special projects regarding the coding of hospital outpatient medical records. This position develops and implements policies and procedures to achieve organizational goals; and provides the structure and strategy to meet hospital-based OP coding requirements across the system. The manager is responsible for the day-to-day supervision, management and daily operations of hospital OP coding services. This individual must have proven leadership and management skills to promote efficient, effective, and compliant assignment of hospital charge capture, diagnosis, procedure codes and modifiers which support the services provided. This individual is responsible for development of action plans for improvement and must have knowledge and job experience of management and supervision of personnel. WORK SHIFT: Days (United States of America)LCMC Health is a community. Our people make health happen. While our NOLA roots run deep, our branches are the vessels that carry our mission of bringing the best possible care to every person and parish in Louisiana and beyond and put a little more heart and soul into healthcare along the way. Celebrating authenticity, originality, equity, inclusion and a little “come on in” attitude is the foundation of LCMC Health’s culture of everyday extraordinary Your extras - Deliver healthcare with heart. - Give people a reason to smile. - Put a little love in your work. - Be honest and real, but with compassion. - Bring some lagniappe into everything you do. - Forget one-size-fits-all, think one-of-a-kind care. - See opportunities, not problems – it’s all about perspective. - Cheerlead ideas, differences, and each other. - Love what makes you, you - because we do You are welcome here. LCMC Health is an equal opportunity employer. All qualified applicants receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability status, protected veteran status, or any other characteristic protected by law. The above job summary is intended to describe the general nature and level of the work being performed by people assigned to this work. This is not an exhaustive list of all duties and responsibilities. LCMC Health reserves the right to amend and change responsibilities to meet organizational needs as necessary. Simple things make the difference. 1. To get started, take your time to fully and accurately complete the application for employment. Incomplete applications get bogged down and are often eliminated due to missing information. 2. To ensure quality care and service, we may use information on your application to verify your previous employment and background. 3. To keep our career applications up-to-date, applications are inactive after 6 months and, therefore, require a new application for employment to be completed. 4. To expedite the hiring process, proof of citizenship or immigration status will be required to verify your lawful right to work in the United States.

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