Coding Edits Specialist
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Job Location:
Brentwood, TN - USA
Monthly Salary:
Not Disclosed
Posted on:
4 days ago
Vacancies:
1 Vacancy
Job Summary
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 youll 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 youll 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.
ACoding 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 AHIMAs 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 addition to your base compensation this position also offers:
Comprehensive Benefits:Multiple levels of medical dental and vision coverage for full-time andpart-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 were 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 Healthis an Equal Opportunity Employer.Lifepoint Healthis 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.
Required Experience:
IC
Key Skills
- Sales Experience
- Crane
- Customer Service
- Communication skills
- Heavy Equipment Operation
- Microsoft Word
- Case Management
- OSHA
- Team Management
- Catheterization
- Microsoft Outlook Calendar
- EHS
About Company
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 a ... View more
