Professional Medical Coder I
Lexington Medical, Inc
full-time
Posted on:
Location Type: Remote
Location: South Carolina • United States
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Job Level
About the role
- Assigns appropriate ICD and CPT codes for reimbursement and statistical purposes.
- Follows ICD, CPT, CMS, and other regulatory coding guidelines.
- Abstracts clinical information from medical records for complete and accurate statistical documentation.
- Reviews and interprets hospital based professional services and outpatient medical documentation to accurately assign ICD and CPT codes for reimbursement and statistical purposes.
- Abstracts information into computer for reimbursement and statistical purposes.
- Researches and stays current with trends in healthcare coding and compliance.
- Keeps department manager up to date with any coding or documentation issues.
- Must work independently and collaboratively to support the achievement of department People, Quality, Finance, and Service goals as well as organizational goals.
- Works as a team with physicians, coding staff and other personnel to ensure proper and accurate code assignment and continuous quality improvement.
- Responsible for assisting with coding claim edits and reviewing claim denials for correction.
- Reports to work in a timely manner and adheres to attendance policies.
- Conscientious of scheduling time off in advance so as not to interfere dramatically with coding turnaround times.
- Performs all other duties as assigned.
Requirements
- Minimum Education: High School Degree or Equivalent
- Minimum Years of Experience: 1 Year of Experience in Professional Coding or Related Field
- Substitutable Education & Experience (Optional): In lieu of 1 Year of Experience, will consider successful completion of the coding fellowship.
- Required Certifications/Licensure: Licensure, Registry, or Certification Required (AAPC or AHIMA coding credential required and/or specialty certification, as approved by Director);
- A CCA or CPC-A will only be eligible for those who have successfully completed the coding fellowship.
- Required Training: Experience working with CPT, ICD diagnosis coding, E/M Documentation Guidelines (1995/1997/2021);
- Experience with CCI edits;
- Experience with Medicare LCDs and NCDs;
- Understanding of state and federal regulations as well as payor billing requirements.
- Must be computer literate and have experience with Microsoft applications (i.e., Word, Excel, Outlook);
- Experience with electronic health records software.
Benefits
- Day ONE medical, dental and life insurance benefits
- Health care and dependent care flexible spending accounts (FSAs)
- Employees are eligible for enrollment into the 403(b) match plan day one. LHI matches dollar for dollar up to 6%.
- Employer paid life insurance – equal to 1x salary
- Employee may elect supplemental life insurance with low cost premiums up to 3x salary
- Adoption assistance
- LHI provides its full-time employees employer paid short-term disability and long-term disability coverage after 90 days of eligible employment
- Tuition reimbursement
- Student loan forgiveness
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
ICD codingCPT codingE/M Documentation GuidelinesCCI editsMedicare LCDsMedicare NCDsstatistical documentationcoding claim editsclaim denials reviewabstracting clinical information
Soft Skills
independent workcollaborative workcommunicationteamworkattention to detailtime managementproblem-solvingquality improvementconscientiousnessadaptability
Certifications
AAPC coding credentialAHIMA coding credentialCCACPC-A