Professional Medical Coder III

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. Trains and mentors peers and assists management with coding audits.

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.

Requirements

• Minimum Education: High School Diploma or Equivalent
• Minimum Years of Experience: 5 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): In lieu of the above experience combination in coding, will consider either of the following combinations: 10 Years of Internal Experience Working within LMC’s Coding Department Demonstrating Core Competencies, in which they Successfully Met Quality and Productivity Standards

Qualifications

• Required Certifications/Licensure: At least Two Active Certifications from AAPC or AHIMA (Eligible Certifications are CPC, CCS, CCS-P, CPMA, CRC, CDIP, CDEO, CCDS, CCDS-O, or other approved by Director)
• 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; Meets or exceeds department quality and productivity expectations

Benefits

• Day ONE medical, dental and life insurance benefits
• Health care and dependent care flexible spending accounts (FSAs)
• 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
• May elect supplemental life insurance with low cost premiums up to 3x salary
• Adoption assistance
• Employer paid short-term disability and long-term disability coverage after 90 days of eligible employment
• Tuition reimbursement
• Student loan forgiveness

Pay

Sign-On Bonus: $5,000

Schedule

Full Time, AM Shift 8 a.m.-5 p.m.