Coding Specialist-CBO

Lifepoint

Posted on : 10-04-2025

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1 Vacancy

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Job Location

Rutherfordton, NC - USA

Monthly Salary

Not Disclosed

Salary Not Disclosed

Vacancy

1 Vacancy

Posted on : 10-04-2025

Job Description

Rutherford Regional Health System is a 143bed acute care facility that offers a broad array of inpatient and outpatient care. Rutherford Regional is dedicated to providing patients with a full range of services to meet their healthcare needs.We provide our services in a caring professional environment through the teamwork of our medical staff and employees.

Rutherford Regional Health Systems partnership with Duke LifePoint Healthcare is bringing the pieces together to transform healthcare in Rutherford County. Duke LifePoint Healthcare is a joint venture of Duke University Health System one of the countrys leading academic health systems and LifePoint Health a leading healthcare company dedicated to Making Communities Healthier. These two forces joined because of the shared interest in collaborating with hospitals healthcare providers and patients to bring high quality innovative healthcare services to communities. Duke LifePoint combines Dukes unparalleled expertise in clinical excellence and quality care with LifePoints extensive resources and knowledge and experience operating community hospitals and healthcare organizations.

The Coding Specialist is responsible for accurately coding provider services and entering the codes into the practice management system following coding guidelines.

Essential Functions:

Assigns accurate ICD diagnosis codes using compliant documentation.

Assigns accurate CPT/HCPCS codes to records using compliant documentation.

Applies knowledge of Coding Guidelines to select the appropriate diagnosis code.

Uses available research and reference tools to understand the disease process and diagnosis.

Interprets physician documentation within the coding guidelines and obtains clarification from physicians regarding vague or ambiguous record documentation.

Enhances coding knowledge and skills with continuing education activities.

Responsible for coding claims for professional fees for practice based physician practices or other entities.

Reviews professional documentation for accurate CPT and ICD9 coding and compliance with government regulations.

Codes/abstracts all necessary information from health records to identify secondary complications and comorbid conditions.

Performs a comprehensive review of the documentation to assure the presence of all component parts such as: patient and record identification dates where requested and other necessary data documented on all reports indicated by the nature of the treatment rendered.

Evaluates the record for documentation consistency and adequacy.

Ensures the final diagnosis accurately reflects the care and treatment rendered.

Reviews the records for compliance with established third party reimbursement agencies and special screening criteria.

Queries physicians/providers when documentation is unclear to enable assignment of codes that are most specific and accurate for disease/operative indices and to support accurate billing for services delivered.

Codes only diagnoses and procedures documented in health record by physician or provider.

Queries physician/provider if documentation is unclear questionable or if clarification is needed.

Accesses uses or discloses PHI only when necessary to perform official job duties.

Minimum EducationHigh School diploma or equivalent requiredAssociates Degree preferred

Required SkillsRequires critical thinking skills decisive judgment and the ability to work with minimal supervision. Must be able to work in a stressful environment and take appropriate action.

Must have thorough understanding of ICD10 Official Coding Guidelines for Coding and Reporting and AHA Coding Clinic; HCPCS/CPT coding systems and CPT Assistant and Coding Clinic for HCPCS guidelines; Medicare Outpatient Prospective Payment System (OPPS) and Ambulatory Payment Classification (APC).

Certifications:CPC requiredAAPC certification preferred

Minimum Work Experience13 years working in a healthcare setting preferred. Prior coding of physician services using CPT and ICD10 codes strongly preferred.

Benefits Wide range of benefits options!

Here at Rutherford Regional you choose your own Medical Dental and Vision plans from a variety of competitive options that give you the coverage that best fits your needs.

HSA
401(K) retirement plan contributions
Generous Paid Time Off
Accident & Critical Illness Insurance
Prescription Assistance with OptumRx
Income protection programs for the entire family such as life insurance Short/Longterm Disability and Identity Theft.
Employee Assistance program at no cost to you to provide emotional legal financial and daily life support for your entire household. Services are available 24 hrs. a day 7 days a week.
Free travel and entertainment discount program to ensure you enjoy your time away from work.

Why join our team

We are dedicated to providing patients with a full range of services to meet their healthcare needs and we believe our employees are our most valuable assts in accomplishing this goal. Rutherford Regional is growing its team of dedicated health care professionals. If you are looking to start acareer that cares are passionate about changing lives and ready to work in a supportive environment in a closeknit community apply today!

Required Experience:

Unclear Seniority

Employment Type

Full-Time

Company Industry

Key Skills

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About Company

Lifepoint

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Coding Specialist-CBO

Lifepoint

Job Description

Employment Type

Company Industry

Key Skills

About Company

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