Outpatient Coding Specialist - Surgery (Remote)

Lifepoint Health • Brentwood, TN

1d • Remote

About The Position

Lifepoint Health is seeking an Outpatient Coding Specialist to join their Health Support Center (HSC) team. This role supports hospital facilities by ensuring accurate coding of patient encounters across various departments including emergency, same-day surgery, outpatient clinics, observation, inpatient OB/newborn, and specialty clinics. The specialist will analyze documentation, resolve issues, and ensure compliance with coding guidelines and hospital policies. The position is fully remote and welcomes applicants from all United States time zones, offering flexible scheduling to complete a 40-hour work week.

Requirements

• One year of outpatient coding experience in an acute care hospital is preferred.
• Must be authorized to work in the United States without employer sponsorship.

Nice To Haves

• Associate degree in health-related field preferred.
• Certified Coding Associate (CCA), Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or Registered Health Information Technician (RHIT) preferred.
• 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.

Responsibilities

• 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/newnewborn 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.
• 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.
• 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 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.

Benefits

• Multiple levels of medical, dental and vision coverage for full-time and part-time employees.
• Life, accident, critical illness, hospital indemnity insurance, short- and long-term disability, paid family leave and paid time off.
• Higher education and certification tuition assistance, loan assistance and 401(k) retirement package and company match.
• Mental, physical, and financial wellness programs (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: Mid Level
• Education Level: Associate degree