Coder Lead
The Coder Lead will code all patient types as needed; inpatient, same‑day surgery, ancillary, ambulatory, and provider‑based clinics.
Responsibilities
Mentor, train, and assist with cross‑training coding staff, including newly hired staff.
Assign appropriate CPT/HCPCS and ICD‑10‑CM‑PCS diagnosis codes and procedures for hospital and physician services for inpatient and outpatient records.
Navigate the patient health record and other computer systems to determine accurate diagnosis and procedure codes, MS‑DRGs, and APCs.
Code complex outpatient or inpatient cases utilizing encoder software, Computer Assisted Coding (CAC), and reference tools.
Validate charges by comparing them with health record documentation; use the retrospective edit tool to address possible coding or documentation issues.
Communicate effectively with clinical staff, physicians, office staff, and the Clinical Documentation Improvement Specialist regarding documentation issues or needs.
Identify concerns and notify leadership for resolution; provide resolution to moderate‑to‑complex problems.
Track issues (e.g., missing documentation, charges, physician queries) that require follow‑up to facilitate timely coding.
Consistently meet or exceed coding quality and productivity standards set by the department.
Adhere to LCMC confidentiality requirements related to the release of patient information.
Maintain up‑to‑date knowledge of changes in coding and reimbursement guidelines, regulations, and the Code of Ethics.
Perform other duties as assigned by leadership.
Qualifications
Minimum three (3) years of current complex outpatient and inpatient coding experience.
Associate degree in health information management or a related field, or an equivalent combination of education and experience.
Completion of an AHIMA‑ or AAPC‑approved coding program.
Certification(s) preferred: Certified Coding Specialist (CCS), Certified Inpatient Coder (CIC), Certified Professional Coder (CPC). Internal staff without certification must obtain medical coding certification within twelve months through an approved LCMC coding program.
RHIA/RHIT certification is desirable.
Skills & Abilities
Extensive working knowledge of medical terminology, anatomy and physiology, diagnostic and procedural coding, and MS‑DRG or APC grouping.
Proficiency with encoding/grouping software.
Ability to use standard desktop and Windows‑based computer systems, email, internet, and navigation.
High ethical standards and knowledge of ICD‑10‑CM, ICD‑10‑PCS, CPT/HCPCS, MS‑DRG, APR‑DRG, and APC coding principles.
Experience in ICD‑10 coding and reimbursement training.
Knowledge of PPS methodology, Joint Commission and CMS documentation regulations.
Experience with concurrent coding reviews and in assisting and identifying learning needs for staff.
Strong analytical, problem‑solving, oral, written, and interpersonal communication skills.
Ability to set priorities, adapt to change, and collaborate with physicians and managerial staff at all levels.
Work Shift
Variable hours (United States of America).
Equal Opportunity Employer
LCMC Health is an equal opportunity employer. All qualified applicants receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability status, protected veteran status, or any other characteristic protected by law.
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