Professional Medical Coder I

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 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.
• 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
• In lieu of 1 Year of Experience, will consider successful completion of the coding fellowship.
• 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