Lifepoint Health logo
Lifepoint Health

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.

Coding Edits Specialist

Billing SpecialistBilling SpecialistFull TimeRemoteMid LevelTeam 1,001-5,000

Location

United States

Posted

46 days ago

Salary

0

Seniority

Mid Level

No structured requirement data.

Job Description

Coding Edits Specialist

Lifepoint Health

Role Description As a Coding Edits Specialist, you will: - Assign diagnosis and procedure codes using the appropriate coding classification system on all episodes of care in various settings. - Analyze questionable documentation to ensure accuracy and resolve identified issues. - Utilize ICD 10-CM, CPT, and HCPCS according to CMS requirements for hospital billing. - Achieve and maintain 95% accuracy on quality reviews and assigned productivity standards. - Be familiar with Ambulatory Payment Categories (APCs), OPPS, NCCI guidelines, and other medical necessity/compliance guidelines. - Verify, edit, and/or enter charges based on documentation or payer/billing. - Maintain knowledge of applicable rules, regulations, policies, laws, and guidelines impacting the coding area. - Follow coding workflows for service type, including compliance reviews. - Submit physician queries when clarification of documentation is needed. - Facilitate positive working relationships with physicians, nurses, medical staff, and hospital employees. - Assist in training and reviewing the work of other coders for accuracy and efficiency. - Make recommendations to the supervisor and implement and monitor results as appropriate. - Seek advice and guidance as needed to ensure proper understanding. - Assist others with responsibilities and adjust work schedule to meet department needs. - Use independent discretion/decision-making while effectively working remotely. - Attend required educational webinars, conference calls, and coding seminars. - Maintain coding education hours and renew annual coding credentials as applicable. - Complete all assigned compliance courses within the designated period. - Conform to AHIMA’s Code of Ethics and Standards of Ethical Coding. - Ensure patient/employee privacy and dignity by maintaining confidentiality. - Perform other related job tasks or responsibilities as assigned. Qualifications - Associate degree in health-related field preferred. - One year of outpatient coding experience in an acute care hospital is preferred. - Certifications: CCA, CPC, CCS, or RHIT preferred. Requirements - Must be authorized to work in the United States without employer sponsorship. Benefits - 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 with 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.

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