Medical Coder II

Lexington Medical Center•West Columbia, SC
•Remote

About The Position

The Medical Coder II assigns appropriate ICD and CPT codes for reimbursement and statistical purposes, follows ICD, CPT, CMS, and other regulatory coding guidelines, and abstracts clinical information from medical records for complete and accurate statistical documentation. This is a remote position, and the employee must reside in South Carolina. The role is full-time, with a day shift schedule of 8 a.m. to 5 p.m., and offers a $5,000 sign-on bonus. Lexington Health is a comprehensive care network with 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. The organization also includes specialty care facilities and postgraduate medical education programs. The position requires an active AAPC or AHIMA coding credential and at least three years of professional coding experience across multiple clinical and/or surgical specialties, with successful achievement of quality and productivity standards. The coder reviews and interprets medical documentation, enters information into computer systems, researches coding and compliance developments, communicates coding or documentation issues to the department manager, and works independently and collaboratively to support departmental and organizational goals.

Requirements

  • High school diploma or equivalent.
  • At least 3 years of professional coding experience covering multiple clinical and/or surgical specialties, including a combination of surgical, E/M, or other coding experience approved by the Director; must have successfully met quality and productivity standards.
  • Active AAPC or AHIMA coding credential.
  • Experience working with CPT and ICD diagnosis coding.
  • Experience with CCI edits.
  • Experience with Medicare LCDs and NCDs.
  • Understanding of state and federal regulations and payor billing requirements.
  • Computer literacy and experience with Microsoft applications such as Word, Excel, and Outlook.
  • Experience with electronic health records software.
  • Experience with E/M Documentation Guidelines (1995, 1997, or 2021).
  • Must reside in South Carolina.

Responsibilities

  • Review and interpret medical documentation to accurately assign ICD and CPT codes for facility or professional reimbursement and statistical purposes.
  • Abstract information into a computer for reimbursement and statistical purposes.
  • Research and stay current with trends in healthcare coding and compliance.
  • Keep the department manager up to date with coding or documentation issues.
  • Work independently and collaboratively to support department People, Quality, Finance, and Service goals and organizational goals.
  • Work as part of a team with physicians, coding staff, and other hospital personnel to ensure proper and accurate code assignment and continuous quality improvement.
  • Assist with coding claim edits and review claim denials for correction.
  • Report to work in a timely manner and adhere to attendance policies; schedule time off in advance to avoid significantly affecting coding turnaround times.
  • Perform other duties as assigned.

Benefits

  • $5,000 sign-on bonus.
  • Medical, dental, and life insurance benefits effective day one.
  • Health care and dependent care flexible spending accounts (FSAs).
  • 403(b) match plan enrollment available day one; employer matches dollar for dollar up to 6%.
  • Employer-paid life insurance equal to 1x salary.
  • Optional supplemental life insurance with low-cost premiums up to 3x salary.
  • Adoption assistance.
  • Employer-paid short-term and long-term disability coverage for full-time employees after 90 days of eligible employment.
  • Tuition reimbursement.
  • Student loan forgiveness.
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