Medical Coder II

Lexington Health Inc; United States; Remote; USD 60,000 - 78,000; Full time

Benefits offered by this job

Day-one benefits

403(b) match

Adoption assistance

Disability insurance

Tuition reimbursement

Student loan forgiveness

Equal opportunity employer

Job summary

Lexington Health is hiring a Medical Coder II to join our full-time AM shift coding team. This remote position requires residence in South Carolina and offers a $5,000 sign-on bonus. You will assign ICD and CPT codes for reimbursement, follow ICD/ CPT guidelines, and abstract clinical information from medical records for accurate statistics.

Must stay current with coding changes, work with physicians and coding staff, and ensure timely turnaround to support billing and reporting.

Qualifications

• High School Diploma or Equivalent.
• 3 years of professional coding across multiple specialties.
• Active AAPC or AHIMA credential required.
• Experience with CPT/ICD coding and E/M guidelines.
• Proficient with EHR systems and Microsoft Office.

Responsibilities

• Assign ICD and CPT codes for facility or professional reimbursement.
• Abstract clinical information for statistics from medical records.
• Review claim denials and assist with edits as needed.
• Collaborate with physicians and coding staff to ensure quality coding.
• Keep current with coding changes and payor requirements.

Skills

CPT coding

ICD coding

EM Documentation Guidelines

Medicare LCDs/NCDs

EHR systems

Microsoft Office

Education

High School Diploma or Equivalent

AAPC or AHIMA Coding Credential

Tools

EHR software

Microsoft Office

Job description

Medical Coder II

Coding Full Time AM Shift 8 am to 5pm Sign-On Bonus: $5,000 Remote Position, Must reside in South Carolina) $5,000 Sign-on Bonus

Lexington Health is a comprehensive network of care that includes six community medical and urgent care centers, nearly 80 physician practices, more than 9,000 health care professionals and Lexington Medical Center, a 607-bed teaching hospital in West Columbia, South Carolina. It was selected by Modern Healthcare as one of the Best Places to Work in Healthcare and was first in the state to achieve Magnet with Distinction status for excellence in nursing care. Consistently ranked as best in the Columbia Metro area by U.S. News & World Report, Lexington Health delivers more than 4,000 babies each year, performs more than 34,000 surgeries annually and is the region's third largest employer. Lexington Health also includes an accredited Cancer Center of Excellence, the state's first HeartCARE Center, the largest skilled nursing facility in the Carolinas, and an Alzheimer's care center. Its postgraduate medical education programs include family medicine and transitional year residencies, as well as an informatics fellowship.

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 Diploma or Equivalent

Minimum Years of Experience: 3 Years of Professional Coding Experience Covering Multiple Clinical and/or Surgical Specialties (Combination of Surgical, E/M, or other coding experience as approved by Director), which they Successfully Met Quality and Productivity Standards

Substitutable Education & Experience (Optional): None.

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 payor 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.

Essential Functions

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. 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 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. Conscientious of scheduling time off in advance so as not to interfere dramatically with coding turnaround times. Performs all Other duties as assigned.

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

Equal Opportunity Employer

It is the policy of Lexington Health to provide equal opportunity of employment for all individuals, and to remain compliant with applicable state and federal laws and regulations. Lexington Health strives to provide a discrimination-free environment, and to recruit, select, on-board, and employ all employees without regard to race, color, religion, sex, age, disability, national origin, veteran status and pregnancy, childbirth, or related medical conditions, including but not limited to, lactation. Lexington Health endeavors to upgrade and promote employees from within the hospital where possible and consistent with the employee's desires and abilities and the hospital's needs.