Professional Medical Coder I (Remote, Must reside in the state of South Carolina)

Job Summary

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.

Minimum Qualifications

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.

Essential Functions

• 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.

Duties & Responsibilities

• 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.

We are committed to offering quality, cost-effective benefits choices for our employees and their families :

• 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
30+ days ago