Coding Edits Specialist

Lifepoint Health • Brentwood, TN

1d • Remote

About The Position

The Coding Edits Specialist assigns diagnosis and procedure codes for emergency department, same-day surgery, outpatient clinic, observation, inpatient OB newborn, and specialty clinic encounters. The role reviews documentation for accuracy, resolves identified issues, and follows coding conventions, guidelines, hospital policy, and applicable CMS hospital-billing requirements. The position is remote and full-time, with a Monday–Friday schedule of 40 hours per week; the employee may make their own schedule.

Requirements

• Authorized to work in the United States without employer sponsorship.
• Maintain 95% accuracy on quality reviews and meet assigned productivity standards.
• Ability to use independent discretion and decision-making while working remotely.
• Commitment to maintaining confidentiality and following applicable ethical, compliance, and attendance requirements.

Nice To Haves

• Associate degree in a health-related field.
• One year of outpatient coding experience in an acute care hospital.
• Certified Coding Associate (CCA), Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or Registered Health Information Technician (RHIT) credential.

Responsibilities

• Assign diagnosis and procedure codes using ICD-10-CM, CPT, and HCPCS for applicable episodes of care in accordance with coding conventions, guidelines, hospital policy, and CMS requirements.
• Review documentation for accuracy, resolve identified issues, and submit physician queries when documentation requires clarification.
• Achieve and maintain 95% accuracy on quality reviews and meet assigned productivity standards.
• Apply knowledge of APCs, OPPS, NCCI guidelines, coverage decisions, and medical necessity and compliance guidelines for billing and coding.
• Verify, edit, and/or enter charges based on documentation or payer/billing requirements, as needed.
• Maintain knowledge of rules, regulations, policies, laws, and guidelines that affect the coding area.
• Follow service-type coding workflows, including addressing compliance reviews.
• Maintain productive working relationships with physicians, nurses, medical staff, and hospital employees.
• Assist with training and reviewing other coders’ work for accuracy and efficiency, as needed.
• Make recommendations to the supervisor and implement and monitor results as appropriate to support department goals.
• Seek advice and guidance to ensure proper understanding; assist others and adjust work schedule to meet department needs.
• Use independent discretion and decision-making while working remotely.
• Attend required educational webinars, conference calls, coding seminars, and coding discussions.
• Maintain coding education hours and renew annual coding credentials, as applicable.
• Complete assigned compliance courses within the designated period.
• Follow AHIMA’s Code of Ethics and Standards of Ethical Coding and the LifePoint Attendance Policy; maintain patient and employee confidentiality and dignity.
• Perform other related tasks or responsibilities as assigned.

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 coverage.
• Paid family leave and paid time off.
• Higher education and certification tuition assistance.
• Loan assistance.
• 401(k) retirement package with company match.
• Wellness programs, including free gym memberships, virtual care appointments, mental health services, and discount programs.
• Ongoing learning and career advancement opportunities.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: Associate degree