Full-time Certified Medical Coder

Lexington Regional Health Center•Lexington, NE

41d•Hybrid

About The Position

Lexington Regional Health Center is seeking a full-time Medical Coder to join their Health Information Management department. This role is crucial for assigning accurate diagnostic and procedure codes to patient records, which directly impacts reimbursement and ensures adherence to coding compliance regulations and corporate policies. The position may transition to a remote role after initial on-site orientation and training. The Medical Coder will utilize encoder software for CPT and ICD-10-CM/PCS codes, collaborate with departments for proper charging and billing, and interact with providers regarding documentation and coding levels. Continuous learning and maintaining credentials are also key aspects of this role, along with collaborating with other HIM employees and ensuring patient/visitor safety and adherence to infection control guidelines. The role also involves ensuring the environment meets governing body standards and maintaining patient and staff safety through specific tools.

Requirements

Ability to read, analyze, and interpret reports, general business directives, policy and procedure statements, and governmental regulations.
Ability to use standard office equipment and computer software proficiently.
Minimum of 2 years previous coding experience required.
Ability to complete reports and correspondence at a professional level.
Ability to maintain strict confidentiality with regard to protected and sensitive information.
Ability to solve problems independently and confidently by applying analytical and logical thinking.
Ability to immediately respond to common inquiries and complaints from patients, employees and regulatory agencies.
Ability to effectively communicate with individuals from diverse backgrounds.
Ability to effectively organize and present information and respond to questions from employees and external groups of varying sizes.
Successful completion of required knowledge and training of standard precaution protocols and when to apply during principle duties and responsibilities.

Nice To Haves

AHIMA, AAPC, RHIA, or RHIT credentials preferred but not required.
Will consider education in a qualified coding program in lieu of credentials or previous experience.

Responsibilities

Review medical records to assign accurate diagnostic and procedure codes to patient records.
Assign appropriate CPT and ICD-10-CM/PCS codes using encoder software.
Collaborate with various departments to ensure proper charging and billing for maximum reimbursement.
Interact with providers regarding documentation and selection of procedure codes and Evaluation/Management levels.
Participate in continuing education activities to enhance knowledge and skills and maintain credentials.
Work in collaboration with other Health Information Management employees to collaborate workflow.
Ensure patients and visitors follow current infection control guidelines.
Responsible for ensuring the environment meets appropriate governing body standards.
Maintains patient and staff safety through the use of patient safety tools (Teamstepps, Just Culture, etc.).
Perform all other duties as assigned.