Role Description As an Outpatient Coding Specialist, you will: - Assign diagnosis and procedure codes using the appropriate coding classification system on all episodes of care in various settings. - Ensure compliance with official guidelines (ICD-10-CM, AHA Coding Clinic, AMA CPT Assistant and Guidelines) and LifePoint Health Support Center (HSC) policies. - 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 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 that impact the coding area. - Follow coding workflows for service type and address compliance reviews. - Submit physician queries when clarification of documentation is needed. - Facilitate a positive working relationship 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 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.

• Perform coding and related duties using established billing office policies in an accurate and timely manner. • Primary contact with physicians, department administrators, hospital and/or clinical department administrators and their support staff and billing staff. • Coordinates professional service billings for selected clinical departments. • Assignment or verification of CPT, ICD-10 CM coding and modifiers based upon documentation. • Resolve edits for electronic charges, following established policies and procedures to ensure that all data elements are applied. • Monitor charge flow and act as a liaison with managers, department administrators and other billing personnel to assure consistent and accurate change flow. • Identify, report, and resolve coding and reimbursement issues.

Role Description As our Clinic Coder II, you will be instrumental in the financial health and operational integrity of our healthcare ministry. Your primary responsibility will be to accurately abstract and code patient records in compliance with established coding, billing, and data collection guidelines. You'll play a critical role in optimizing revenue cycle management, ensuring compliant data submission, and contributing to the overall success of our clinic's financial services. - Meticulously review medical records to determine the most appropriate diagnoses, utilizing ICD-9-CM and CPT-4 coding rules and guidelines. - Work closely with practice staff on MS-DRG and APC assignments. - Accurately sequence diagnostic and procedural codes. - Validate charges against medical documentation. - Identify and resolve discrepancies in coded charges. - Collaborate with management to ensure accurate account rectification. - Uphold the highest ethical standards in medical billing. To be successful in this medical coding specialist role, you will need a strong understanding of healthcare billing, robust knowledge of medical insurance, payer contracts, and automated systems. You'll possess exceptional attention to detail, critical thinking skills, and a commitment to accuracy, maintaining strict confidentiality of medical records. Candidates with professional coding certifications (CPC, CCS, RHIT, RHIA, etc.) and experience in a revenue cycle optimization environment are highly desired, demonstrating your ability to thrive with limited oversight in a financial services in healthcare setting. Qualifications - Strong understanding of healthcare billing. - Robust knowledge of medical insurance and payer contracts. - Exceptional attention to detail. - Critical thinking skills. - Commitment to accuracy and confidentiality of medical records. - Professional coding certifications (CPC, CCS, RHIT, RHIA, etc.) preferred. - Experience in a revenue cycle optimization environment preferred. Requirements - Certified Professional Coder, upon hire. - Certified Coding Associate, upon hire. - Cardiology Coding, upon hire. - Certified Coding Specialist - Physician Based, upon hire. - Certified Cardiovascular and Thoracic Surgery Coder, upon hire. - Registered Health Information Administrator, upon hire. - Prior Healthcare Billing Experience (preferred).

• responsible for reviewing and analyzing documentation present in the medical record for inpatient, outpatient and/or professional services • assign diagnoses/procedure codes as described by the physician(s) of record • abides by the Standards of Ethical Coding as set forth by the American Health Information Management Association and adheres to official coding guidelines