Medical Coder II

Lexington Health; West Columbia (SC); Remote; USD 60,000 - 85,000; Full time

Benefits offered by this job

Sign-on bonus

Day One medical, dental and life ins.

403(b) match plan day one

Employer paid life insurance

Adoption assistance

Job summary

Lexington Health in South Carolina seeks a Health Information Coder to assign ICD and CPT codes for facility and professional services. You will follow CPT/ICD guidelines and abstract clinical data for reporting and reimbursement.

The role requires 3+ years of professional coding across specialties, active credentialing, and strong EHR skills. Remote work from SC with comprehensive benefits and a $5,000 sign-on bonus available.

Qualifications

• High School Diploma or Equivalent required.
• 3+ years professional coding experience across multiple clinical/surgical specialties.
• Active AAPC or AHIMA coding credential required.
• Experience with CPT, ICD diagnosis coding; E/M Documentation guideline experience.
• Familiarity with Medicare LCDs/NCDs and payor billing requirements.
• Strong computer literacy including Microsoft Office and EHR systems.

Responsibilities

• Review medical documentation to accurately assign ICD and CPT codes for reimbursement and statistics.
• Abstract information into computer systems for reimbursement and data reporting.
• Stay current with coding trends and regulatory changes; communicate issues to department manager.
• Assist with coding claim edits and review denials for corrections.
• Collaborate with physicians and coding staff to ensure quality and timely coding turnaround.

Skills

Medical coding

Attention to detail

Team collaboration

Education

High School Diploma or Equivalent

Tools

Microsoft Word

Microsoft Excel

Microsoft 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-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.

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.