• Execute precise billing operations for U.S. senior care providers, ensuring accurate reimbursement across Assisted Living, Hospice, and RCFE settings. • Submit and track claims for U.S. Medicare/Medicaid and private payers, focusing on Assisted Living, Hospice, and RCFE billing requirements. • Investigate and resolve claim rejections, underpayments, and coding errors (ICD-10, CPT). • Collaborate with clinical teams to ensure service documentation aligns with billing compliance. • Generate statements, process payments, and address patient inquiries. • Assist in generating AR aging reports and reconciliation audits.

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), AHIMA Standards of Ethical Coding, and LifePoint Health Support Center (HSC) policies and procedures. - Utilize ICD 10-CM, CPT, and HCPCS according to the Centers for Medicare & Medicaid Services (CMS) requirements for hospital billing. - Achieve and maintain 95% accuracy on quality reviews and assigned productivity standards. - Be familiar with Ambulatory Payment Categories (APCs), Outpatient Prospective Payment System (OPPS), National Correct Coding Initiative (NCCI) guidelines, and medical necessity/compliance guidelines for billing and coding. - 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, including addressing 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 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 other 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, LifePoint Attendance Policy, and ensure patient/employee privacy and dignity. - 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: Certified Coding Associate (CCA), Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or Registered Health Information Technician (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.

Role Description As a Health Information Management (HIM) Associate on the Member Experience team, you will demonstrate your motivation and ability to serve as the dedicated point of contact for all releases of information, medical records, identifying the type of requests in order to appropriately process them, and ensuring strict confidentiality with all Health Information. Using organizational standards and attention to detail, accuracy, meeting strict deadlines, efficiency, policy comprehension, and process diligence, the Specialist will ensure compliance with state and federal regulations to carry out internal and external record requests as necessary. Core Responsibilities - Receive, prioritize, and process records requests under all encompassing state and federal regulations pertaining to confidentiality, specifically 42 CFR Part 2 and substance use treatment records. - Ensure patient safeguards and confidentiality are prioritized at all times when handling health information and patient records. - Serve as a clinical documentation subject matter expert and contribute to training and quality improvement activities related to HIM. - Ensure consistent compliance in regards to the application of policies and procedures. - Commitment to friendly and collaborative internal and external communication. - Accurately document all requests and responses in a timely manner. - Conduct sensitive corrections to record occurrences within regulatory guidelines. - Contribute to making Workit Health a great place to work. - Other duties as assigned. Qualifications - High school diploma or equivalent required; Associate’s or Bachelor’s degree in Health Information Management, Health Administration, or related field preferred. - RHIT, RHIA, or other relevant HIM certification preferred or willingness to obtain within one year of hire. - 1–2 years of experience in health information management, medical records processing, or related healthcare administrative roles preferred. - Experience working with sensitive health data, including substance use treatment records and 42 CFR Part 2 compliance, strongly preferred. - Familiarity with electronic health records (EHR) systems and document management software. Requirements - Working knowledge of HIPAA, 42 CFR Part 2, and other applicable federal and state regulations governing patient confidentiality and health information disclosure. - Ability to accurately interpret and apply compliance policies and procedures in real-time documentation and request processing. Benefits - Fully remote work - 5 weeks PTO (includes your birthday, 2 mental health days, and 2 floating holidays!) - 11 paid holidays - Comprehensive health, dental, pharmacy, and vision insurance with options to fit your family's needs - 12 weeks paid Parental Leave after 1 year of employment (includes maternity, paternity, adoption, and all ways in which our people build modern families) - 401k + 4% matching - Healthcare & dependent care Flexible Spending Accounts (FSA & DCFSA) - Health Savings Accounts (HSA) - Employee assistance program, complete with financial coaching and counseling sessions - Professional development allowance for Providers and Behavioral Health team - Opportunities for internal mobility and growth at a Company with a proven track record of promoting internally - Vibrant, democratized culture with clubs and multiple ERG groups - Colleagues who care deeply about closing health disparity gaps within the addiction space for underserved populations

• Review medical records and assign codes using ICD-10, CPT, and HCPCS Level II systems • Ensure coding accuracy and compliance with regulatory standards • Examine chart elements and verify the accuracy of medical records • Prepare and submit coded information for insurance claims • Follow CPT/ICD-10 coding guidelines and legal requirements to ensure compliance with HIPAA