Professional Medical Coder I

Job Summary

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.

About the Role

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.

Responsibilities

• Reviews and interprets hospital based professional services and outpatient medical documentation to accurately assign ICD and CPT codes for 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.
• Works as a team with physicians, coding staff and other 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.

Requirements

• Minimum Education: High School Degree or Equivalent
• Minimum Years of Experience: 1 Year of Experience in Professional Coding or Related Field
• Substitutable Education & Experience (Optional): Successful completion of the coding fellowship
• Required Certifications/Licensure: Licensure, Registry, or Certification Required (AAPC or AHIMA coding credential required and/or specialty certification, as approved by Director)
• Required Training: Experience working with CPT, ICD diagnosis coding, E/M Documentation Guidelines (1995/1997/2021); 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.

Qualifications

• High School Degree or Equivalent
• 1 Year of Experience in Professional Coding or Related Field
• Licensure, Registry, or Certification Required (AAPC or AHIMA coding credential required and/or specialty certification, as approved by Director)
• Experience working with CPT, ICD diagnosis coding, E/M Documentation Guidelines (1995/1997/2021); Experience with CCI edits; Experience with Medicare LCDs and NCDs; Understanding of state and federal regulations as well as payor billing requirements.
• Computer literate and experience with Microsoft applications (i.e., Word, Excel, Outlook); Experience with electronic health records software.

Skills

• Computer Literacy
• Microsoft Applications (Word, Excel, Outlook)
• Electronic Health Records Software
• CPT, ICD Diagnosis Coding
• E/M Documentation Guidelines (1995/1997/2021)
• CCI Edits
• Medicare LCDs and NCDs
• State and Federal Regulations
• Payor Billing Requirements

Benefits

- Day ONE medical, dental and life insurance benefits - Health care and dependent care flexible spending accounts (FSAs) - Employer paid life insurance – equal to 1x salary - Employee may elect supplemental life insurance with low cost premiums up to 3x salary - Adoption assistance - Short-term and long-term disability coverage - Tuition reimbursement

Pay

Not specified

Schedule

8a-5p, Mon-Fri