Medical Coder II

Lexington Medical Center; West Columbia (SC); Remote; USD 55,000 - 75,000; Full time

Benefits offered by this job

Day ONE medical, dental and life保险

403(b) retirement plan matching

Adoption assistance

Student loan forgiveness

Job summary

Lexington Health seeks an experienced Medical Coder for a remote role based in South Carolina. You will assign ICD/CPT codes for reimbursement, abstract data from records, and stay current with coding guidelines.

Requirements include a High School Diploma or equivalent, 3+ years of coding across specialties, and an active AAPC/AHIMA credential. Proficiency with CPT/ICD, CMS rules, and EHR systems is essential.

Qualifications

• High School Diploma or equivalent required.
• 3+ years of professional coding experience across specialties.
• Active AAPC or AHIMA coding credential required.
• Experience with CPT/ICD, CMS guidelines, payor billing.
• Computer literate with Microsoft Office and EHR software.

Responsibilities

• Assign ICD and CPT codes for facility or professional reimbursement and statistics.
• Abstract clinical information from medical records for documentation.
• Stay current with coding trends and regulatory changes.
• Collaborate with physicians and staff to ensure accurate coding.
• Review denials and assist with edits as needed.

Skills

Medical coding

Independent working

Problem solving

Education

High School Diploma or Equivalent

AAPC or AHIMA Coding Credential

Tools

Microsoft Word

Microsoft Excel

Outlook

Electronic health records software

Job description

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-bedteachinghospital in West Columbia, South Carolina. It was selected by Modern Healthcare as one of the Best Places to Work in Healthcareand was first in the state to achieve Magnet with Distinction status for excellence in nursing care. Consistently ranked as bestin the Columbia Metroarea by U.S. News & World Report, Lexington Healthdelivers more than 4,000babies each year, performs more than 34,000surgeries annually and isthe 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.

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
• 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, or 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.