Coding Edits Specialist - Remote

Lifepoint Health, Inc.; Oregon; Híbrido; USD 55.000 - 75.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Comprehensive Benefits

401(k) Match

Tuition Assistance

Paid Time Off

Career Growth

Descripción de la vacante

Lifepoint Health, Inc. is seeking a Coding Edits Specialist to support remote coding for diverse hospital encounters. You will assign ICD-10-CM, CPT, and HCPCS codes while ensuring documentation accuracy and compliance with CMS requirements.

The role emphasizes accuracy, adherence to APCs/OPPS/NCCI guidelines, and collaboration with physicians and medical staff to optimize coding quality and productivity.

Formación

• Associates degree in health information or related field preferred.
• One year of outpatient coding experience in an acute care hospital preferred.
• CCA/CPC/CCS/RHIT certifications preferred.

Responsabilidades

• Assign diagnosis and procedure codes using ICD-10-CM, CPT, and HCPCS per CMS requirements.
• Achieve 95% accuracy on quality reviews and productivity standards.
• Follow APCs/OPPS/NCCI guidelines and other medical necessity/compliance rules.
• Submit physician queries when clarification of documentation is needed.
• Maintain knowledge of applicable coding rules, regulations, and policies.

Conocimientos

Medical coding accuracy

Remote work discipline

Attention to documentation

Communication with physicians

Educación

Associate degree in health information or related field

Herramientas

ICD-10-CM

CPT

HCPCS

CMS guidelines

NCCI guidelines

Descripción del empleo

Coding Edits Specialist

Schedule:

Monday-Friday. Make your own schedule! Full time, 40hrs per week.

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

.

How you’ll contribute

• Assign diagnosis and procedure codes using the appropriate coding classification system on all episodes of care in the emergency department, same-day surgery, outpatient clinic, observation, inpatient OB newborn hospital, specialty clinic encounters according to coding conventions, guidelines, and hospital policy, analyzing questionable documentation to ensure to the accuracy of the information and resolve identified issues.

A Coding Edits Specialist who excels in this role:

• Assign appropriate diagnosis and procedure codes utilizing 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.
• Must be familiar with Ambulatory Payment Categories (APCs, the Outpatient Prospective Payment System (OPPS), National Correct Coding Initiative (NCCI) guidelines, Local and National Coverage Decisions, and other medical necessity/compliance guidelines for billing and coding.
• May 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 to include 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 to ensure that all work-related encounters are productive.
• May 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 in support of the overall goals of the department.
• Seek advice and guidance as needed to ensure proper understanding.
• Assist others with responsibilities and adjusts 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, and participate in all formal and informal coding discussions.
• 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 by maintaining confidentiality with no infractions.
• Other related job tasks or responsibilities as assigned.

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

Education:

• Associate degree in health-related field preferred.

Experience:

• 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.

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.