Outpatient Coding Specialist – Surgery

🕒 July 1

🎸 Tennessee – Remote

🎸 Tennessee – Remote

⏰ Full Time

🟢 Junior

🏥 Medical Billing and Coding

👻 Ghost score 45%

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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 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. • Analyze questionable documentation to ensure the accuracy of the information and resolve identified issues. • 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. • Achieve and maintain 95% accuracy on quality reviews and assigned productivity standards. • 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. • 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. • 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.

🎯 Requirements

• 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.

🏖️ 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 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.