Coding Edits Specialist

🔥 2 minutes ago

🎸 Tennessee – Remote

🎸 Tennessee – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

👻 Ghost score 10%

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Lifepoint Health®

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 1999

🏥 Healthcare

🧬 Biotechnology

💊 Pharmaceuticals

Healthcare • Biotechnology • Pharmaceuticals

Lifepoint Health® is a diversified healthcare delivery network that serves patients, clinicians, communities, and partners across the healthcare continuum. With a presence that extends from coast to coast, Lifepoint operates community hospitals, rehabilitation and behavioral health hospitals, and additional care sites. The company is dedicated to improving community health through high-quality care, patient safety, clinical excellence, and innovative partnerships aimed at enhancing healthcare quality and access.

📋 Description

• Assign diagnosis and procedure codes for emergency department, same-day surgery, outpatient clinic, observation, inpatient OB newborn, and specialty clinic encounters • Analyze questionable documentation and resolve identified issues to ensure coding accuracy • Assign ICD-10-CM, CPT, and HCPCS codes according to CMS hospital billing requirements • Achieve and maintain 95% accuracy on quality reviews and assigned productivity standards • Verify, edit, and/or enter charges based on documentation or payer/billing information • Follow coding workflows and address compliance reviews • Submit physician queries when documentation clarification is needed • Collaborate with physicians, nurses, medical staff, and hospital employees • Assist with training and reviewing other coders’ work • Make recommendations to the supervisor and implement and monitor results • Adjust work schedule to meet department needs • Attend coding education webinars, conference calls, seminars, and discussions • Complete compliance courses and maintain applicable coding credentials • Perform other related duties as assigned

🎯 Requirements

• Associate degree in health-related field preferred • One year of outpatient coding experience in an acute care hospital preferred • Certified Coding Associate (CCA), Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or Registered Health Information Technician (RHIT) preferred • Proficiency with ICD-10-CM, CPT, and HCPCS • Familiarity with Ambulatory Payment Categories (APCs), Outpatient Prospective Payment System (OPPS), National Correct Coding Initiative (NCCI) guidelines, Local and National Coverage Decisions, and medical necessity/compliance guidelines • Knowledge of applicable rules, regulations, policies, laws, and guidelines affecting coding • Ability to work effectively remotely using independent discretion and decision-making • Must be authorized to work in the United States without employer sponsorship • Ability to attend required educational webinars, conference calls, and coding seminars • Ability to maintain coding education hours and renew annual coding credentials as applicable • Ability to complete assigned compliance courses within the designated period • Ability to conform to AHIMA’s Code of Ethics and Standards of Ethical Coding • Ability to maintain confidentiality and patient/employee privacy

🏖️ Benefits

• Multiple levels of medical, dental and vision coverage for full-time and part-time employees • Life, accident, critical illness and hospital indemnity insurance • Short- and long-term disability insurance • Paid family leave • Paid time off • Higher education and certification tuition assistance • Loan assistance • 401(k) retirement package and company match • Mental, physical and financial wellness programs • Free gym memberships • Virtual care appointments • Mental health services • Discount programs • Ongoing learning and career advancement opportunities • Flexible schedule: make your own schedule • Remote work arrangement

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