Impactful Lab Coder: CPT/ICD-10 & Compliance Expert

Bookmark Medical; United States; On-site; USD 55,000 - 85,000; Full time

Job summary

Bookmark Medical is seeking a Professional Lab Coder to review, assign, and validate CPT, HCPCS and ICD-10-CM codes for professional laboratory services, ensuring medical necessity and compliant submissions. You will collaborate with the RCM team, stay current with CPT/ICD updates, and play a key role in minimizing denials while supporting accurate reimbursements.

Qualifications include CPC certification and at least 2 years in professional lab coding, with AI-assisted coding and Athenahealth

Qualifications

• CPC coding certification required.
• Minimum 2 years of medical coding experience in professional laboratory coding preferred.
• Experience or familiarity with AI-assisted coding.
• Experience with Athenahealth and primary care operations preferred.

Responsibilities

• Review laboratory charge edits and corresponding documentation to determine appropriate professional coding (CPT and ICD-10).
• Assign and validate CPT, HCPCS and ICD-10 codes for laboratory testing.
• Apply current CPT coding guidelines, ICD-10 conventions, NCCI edits, and applicable payer policies.
• Verify medical necessity and appropriate diagnosis to procedure linkage based on provider documentation and payer coverage requirements.
• Identify missing, invalid, or conflicting information that may affect code assignment, medical necessity, or claim processing.
• Review applicable laboratory bundling – unbundling rules, frequency limitations, and modifier requirements.
• Resolve coding-related claim denials, rejections, and reimbursement issues in collaboration with the coding manager and/or other RCM teams
• Maintain current knowledge of annual CPT, HCPCS, ICD-10, and payer policy updates affecting laboratory services
• Provide feedback on edits and denials to the Coding Manager and RCM team to improve system edits and coding workflows
• Assist and participate in the development of laboratory specific educational materials, and automated coding rules as needed
• Maintain confidentiality and compliance with HIPAA requirements and organizational policies

Skills

CPT coding

ICD-10 coding

HCPCS coding

NCCI edits

EMR proficiency

Attention to detail

Education

CPC coding certification

Tools

Athenahealth

Practice management software

Job description

Bookmark Medical is seeking a Professional Lab Coder to review, assign, and validate CPT, HCPCS and ICD-10-CM codes for professional laboratory services, ensuring medical necessity and compliant submissions. You will collaborate with the RCM team, stay current with CPT/ICD updates, and play a key role in minimizing denials while supporting accurate reimbursements.

Qualifications include CPC certification and at least 2 years in professional lab coding, with AI-assisted coding and Athenahealth