Professional Medical Coder II

Role Overview

• 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 medical documentation to accurately assign ICD and CPT codes for facility or professional 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.
• Works as a team with physicians, coding staff and other hospital 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.
• Performs all Other duties as assigned.

Requirements

• Prior emergency department experience preferred, skilled in assigning professional e/m, injection/infusion/hydration and minor procedures.
• Minimum Education: High School Diploma or Equivalent
• Minimum Years of Experience: 3 Years of Professional Coding Experience Covering Multiple Clinical and/or Surgical Specialties
• Required Certifications/Licensure: Active AAPC or AHIMA Coding Credential
• Required Training: Experience working with CPT, ICD diagnosis coding; Experience with CCI edits; Experience with Medicare LCDs and NCDs; Understanding of state and federal regulations as well as payer billing requirements; Must be computer literate and have experience with Microsoft applications (i.e., Word, Excel, Outlook); Experience with electronic health records software; E/M Documentation Guideline (1995/1997/2021) experience.

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