Senior Coder - PB Professional Coding - Cardiology Specialty

100 LCMC Health; Louisiana (MO); Hybrid; USD 50,000 - 75,000; Full time

Job summary

100 LCMC Health is seeking a coding specialist responsible for applying complex ICD-10 and CPT codes for both inpatient and outpatient records. Candidates must hold a minimum two years of coding experience and relevant coding certification.

The ideal candidate will have a strong understanding of medical terminology and coding regulations, and will effectively communicate with clinical staff to resolve documentation issues. This position offers variable work hours in Louisiana, Missouri.

Qualifications

• Minimum two years of complex outpatient and inpatient coding experience.
• Certified Coding Associate (CCA) or Certified Inpatient/Outpatient Coder (CIC/COC) required.
• Strong knowledge of coding guidelines and regulations.

Responsibilities

• Apply ICD-10-CM/PCS and CPT codes for inpatient and outpatient records.
• Communicate with clinical staff regarding documentation issues.
• Maintain knowledge of coding and reimbursement guidelines.

Skills

Medical terminology

ICD-10 coding

Analytical/problem-solving

Interpersonal communication

Education

Completion of AHIMA/AAPC-approved coding program

Associate degree in health information management

Tools

Encoding/grouping software

Job description

Your job is more than a job. Join LCMC Health, and you’ll find that our everyday makes it easy to live your extraordinary.

Essential Function

• Apply the appropriate ICD-10-CM/PCS and CPT diagnostic and procedural codes and determine the MS‑DRG and APR‑DRG assignments for inpatient records across multiple specialties (cardiology, cardiothoracic surgery, trauma, orthopedics, general medicine and surgery, pediatrics, obstetrics, newborns, etc.).
• Apply ICD-10 diagnostic and CPT procedure codes for ambulatory records across multiple specialties (family medicine, internal medicine, cardiology [IR], cardiothoracic surgery, interventional radiology, trauma, orthopedics, general surgery, urology, gynecology, etc.).
• Navigate patient health records and other computer systems accurately to determine diagnosis, procedures, MS‑DRGs, APCs, and required modifiers.
• Validate charges by comparing charges with health‑record documentation as necessary.
• Communicate effectively with clinical staff, physicians, office staff, and Clinical Documentation Improvement Specialists regarding documentation issues related to inpatient, outpatient, or ambulatory coding.
• Identify concerns and notify appropriate leadership for resolution; provide resolution to moderate‑to‑complex problems.
• Track issues that require follow‑up to facilitate coding in a timely fashion.
• Consistently meet or exceed coding quality and productivity standards established by the coding department.
• Adhere to confidentiality requirements related to the release of patient information.
• Maintain knowledge of changes in coding and reimbursement guidelines, regulations, and federal, state, and local laws.
• Perform other duties as assigned by leadership.
• Maintain professional, ethical, and honest behavior in accordance with the Code of Ethics.

Job Qualifications

• Education: Minimum: Completion of an AHIMA‑approved coding program, AAPC‑approved coding program, associate degree in health information management or related field, or an equivalent combination of years of education and experience.
• Experience: Minimum two (2) years of current complex outpatient and inpatient coding experience.
• Certification: Minimum: Certified Coding Associate (CCA) from AHIMA or Certified Inpatient Coder (CIC) & Certified Outpatient Coder (COC) from AAPC. Internal staff who are not certified must obtain medical coding certification within twelve months through an approved LCMC coding program. Preferred: RHIA/RHIT, Certified Coding Specialist (CCS).
• Skills / Training: Comprehensive knowledge of medical terminology, anatomy, physiology, diagnostic/procedural coding, MS‑DRG/APC grouping, charge description master. Knowledge of third‑party reimbursement regulations, billing practices, and concurrent coding reviews. Experience with encoding/grouping software. Basic desktop, Windows‑based computer skills, email, internet, and navigation. High ethical standards and strong analytical/problem‑solving skills. Excellent oral, written, and interpersonal communication skills. Ability to organize, set priorities, and collaborate with physicians and managerial staff.

Work Shift

Variable Hours (United States of America).

Equal Opportunity Employer

LCMC Health is an equal opportunity employer. All qualified applicants receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability status, protected veteran status, or any other characteristic protected by law.

LCMC Health reserves the right to amend and change responsibilities to meet organizational needs as necessary.