Outpatient Coding Specialist – Surgery

Role Overview

• 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.
• 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.
• 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.
• Facilitate a positive working relationship with physicians, nurses, medical staff, and hospital employees to ensure that all work-related encounters are productive.

Requirements

• 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.

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 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.