[Hiring] Lead Medical Coder @Luminis Health

Role Description

The Medical Lead Coder under the supervision of the Manager of Coding and Data Quality assists with oversight of daily Inpatient coding operations in accordance with Luminis Health coding guidelines, ICD-10-CM Official Coding Guidelines for Coding and reporting, and other authoritative resources. This position may include:

• Reviewing Inpatient medical records to extract pertinent information for code assignment.
• Assigning principal and significant secondary ICD-10-CM diagnosis codes and ICD-10-PCS procedure codes.
• Ensuring compliance with coding guidelines, conventions, and regulatory requirements, including HIPAA.
• Utilizing coding references, software tools, and electronic health records (EHR) for accurate code assignment.
• Maintaining a high level of accuracy in code assignment to prevent claim denials and billing errors.
• Staying updated with coding changes, industry trends, and regulatory updates.
• Collaborating with healthcare providers and billing staff to clarify documentation and resolve coding-related queries.
• Participating in ongoing education, training, and certification programs.
• Upholding professional ethics, integrity, and confidentiality in handling patient information.
• Conducting regular audits and quality assurance reviews to monitor coding accuracy.
• Generating reports and providing coding-related data analysis to support healthcare management.
• Assisting in the development and implementation of coding policies and procedures.
• Providing support during external coding audits.
• Maintaining a positive and collaborative working relationship with stakeholders.

Qualifications

• High School diploma or equivalent and Medical Coding Education.
• Preferred: Bachelor’s degree in health information management, business administration, or related field.
• Three (3) years of verifiable, progressive coding experience.
• Preferred: More than five (5) years of coding experience in an acute care hospital setting.
• Certification as a Certified Professional Coder (CPC), Certified Outpatient Coder (COC), Certified Inpatient Coder (CIC), Certified Coding Specialist (CCS), or Certified Coding Specialist Physician-Based (CCS-P), or a Certified Coding Associate (CCA) required.
• Preferred: Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA).

Requirements

• Light work, exerting up to twenty pounds of force occasionally.
• Reasonable expectation of no exposure to blood-borne pathogens.

Benefits

• Medical, Dental, and Vision Insurance.
• Retirement Plan (with employer match for employees who work more than 1000 hours in a calendar year).
• Paid Time Off.
• Tuition Assistance Benefits.
• Employee Referral Bonus Program.
• Paid Holidays, Disability, and Life/AD&D for full-time employees.
• Wellness Programs.
• Employee Assistance Programs and more.