[Hiring] Coding Edits Specialist @Lifepoint Health

Role Description

As a Coding Edits Specialist, you will:

• Assign diagnosis and procedure codes using the appropriate coding classification system on all episodes of care in various settings, ensuring accuracy and compliance.
• Utilize ICD 10-CM, CPT, and HCPCS codes according to CMS requirements for hospital billing.
• Achieve and maintain 95% accuracy on quality reviews and assigned productivity standards.
• Be familiar with Ambulatory Payment Categories (APCs), OPPS, NCCI guidelines, and other medical necessity/compliance guidelines.
• Verify, edit, and/or enter charges based on documentation or payer/billing.
• Maintain knowledge of applicable rules, regulations, policies, laws, and guidelines impacting coding.
• Follow coding workflows and address compliance reviews.
• Submit physician queries when clarification of documentation is needed.
• Facilitate positive working relationships with medical staff to ensure productive encounters.
• Assist in training and reviewing the work of other coders for accuracy and efficiency.
• Make recommendations to the supervisor and implement results in support of departmental goals.
• Seek advice and guidance as needed for proper understanding.
• Assist others and adjust work schedule to meet department needs.
• Use independent discretion/decision-making while working remotely.
• Attend required educational webinars, conference calls, and coding seminars.
• 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 ensure patient/employee privacy and dignity.
• Perform other related job tasks or responsibilities as assigned.

Qualifications

• Associate degree in health-related field preferred.
• One year of outpatient coding experience in an acute care hospital is preferred.
• Certifications: CCA, CPC, CCS, or RHIT preferred.

Requirements

• Must be authorized to work in the United States without employer sponsorship.

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 with company match.
• Employee Well-being: Mental, physical, and financial wellness programs including free gym memberships, virtual care appointments, mental health services, and discount programs.
• Professional Development: Ongoing learning and career advancement opportunities.