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Your next career move matters. We invite you to explore open positions at Rutherford Regional Health System, which is part of Lifepoint Health, a diversified healthcare delivery network committed to making communities healthier® and creating places where employees want to work. Whether you’re an experienced professional or just beginning your career, you’ll find opportunities to use your skills and expertise.

Coding Specialist-CBO

Rutherfordton, North Carolina

Req ID 7462-9578 Post Date Apr. 01, 2025 CategoryProfessional - Non-Clinical FacilityRutherford Regional Health System
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Rutherford Regional Health System is a 143-bed acute care facility that offers a broad array of inpatient and outpatient care. Rutherford Regional is dedicated to providing patients with a full range of services to meet their healthcare needs.  We provide our services in a caring, professional environment through the teamwork of our medical staff and employees.

Rutherford Regional Health System’s partnership with Duke LifePoint Healthcare is bringing the pieces together to transform healthcare in Rutherford County. Duke LifePoint Healthcare is a joint venture of Duke University Health System, one of the country’s leading academic health systems, and LifePoint Health, a leading healthcare company dedicated to Making Communities Healthier. These two forces joined because of the shared interest in collaborating with hospitals, healthcare providers and patients to bring high quality, innovative healthcare services to communities. Duke LifePoint combines Duke’s unparalleled expertise in clinical excellence and quality care with LifePoint's extensive resources and knowledge and experience operating community hospitals and healthcare organizations.

The Coding Specialist is responsible for accurately coding provider services and entering the codes into the practice management system following coding guidelines.

Essential Functions:

Assigns accurate ICD diagnosis codes, using compliant documentation.
Assigns accurate CPT/HCPCS codes to records, using compliant documentation.
Applies knowledge of Coding Guidelines to select the appropriate diagnosis code.
Uses available research and reference tools to understand the disease process and diagnosis.
Interprets physician documentation within the coding guidelines and obtains clarification from physicians regarding vague or ambiguous record documentation.
Enhances coding knowledge and skills with continuing education activities.
Responsible for coding claims for professional fees for practice based physician practices or other entities.
Reviews professional documentation for accurate CPT and ICD-9 coding and compliance with government regulations.
Codes/abstracts all necessary information from health records to identify secondary complications and comorbid conditions.
Performs a comprehensive review of the documentation to assure the presence of all component parts such as: patient and record identification, dates where requested, and other necessary data documented on all reports, indicated by the nature of the treatment rendered.
Evaluates the record for documentation consistency and adequacy.
Ensures the final diagnosis accurately reflects the care and treatment rendered.
Reviews the records for compliance with established third party reimbursement agencies and special screening criteria.
Queries physicians/providers when documentation is unclear to enable assignment of codes that are most specific and accurate for disease/operative indices and to support accurate billing for services delivered.
Codes only diagnoses and procedures documented in health record by physician or provider.
Queries physician/provider if documentation is unclear, questionable or if clarification is needed.
Accesses, uses or discloses PHI only when necessary to perform official job duties.

Minimum EducationHigh School diploma or equivalent requiredAssociate's Degree preferred
Required SkillsRequires critical thinking skills, decisive judgment and the ability to work with minimal supervision. Must be able to work in a stressful environment and take appropriate action.
Must have thorough understanding of ICD-10 Official Coding Guidelines for Coding and Reporting and AHA Coding Clinic; HCPCS/CPT coding systems and CPT Assistant and Coding Clinic for HCPCS guidelines; Medicare Outpatient Prospective Payment System (OPPS), and Ambulatory Payment Classification (APC).
Certifications:CPC requiredAAPC certification preferred
Minimum Work Experience1-3 years working in a healthcare setting preferred. Prior coding of physician services using CPT and ICD-10 codes strongly preferred.

Benefits - Wide range of benefits options!

Here at Rutherford Regional, you choose your own Medical, Dental, and Vision plans from a variety of competitive options that give you the coverage that best fits your needs.

  • HSA
  • 401(K) retirement plan contributions
  • Generous Paid Time Off
  • Accident & Critical Illness Insurance
  • Prescription Assistance with OptumRx
  • Income protection programs for the entire family such as life insurance, Short/Long-term Disability, and Identity Theft.
  • Employee Assistance program at no cost to you to provide emotional, legal, financial, and daily life support for your entire household. Services are available 24 hrs. a day, 7 days a week.
  • Free travel and entertainment discount program to ensure you enjoy your time away from work.

Why join our team?

We are dedicated to providing patients with a full range of services to meet their healthcare needs, and we believe our employees are our most valuable assts in accomplishing this goal. Rutherford Regional is growing its team of dedicated health care professionals. If you are looking to start a career that cares, are passionate about changing lives, and ready to work in a supportive environment in a close-knit community, apply today!


Equal opportunity and affirmative action employers and are looking for diversity in candidates for employment: Minority/Female/Disabled/Protected Veteran
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