The Medical Lead Coder supports coding operations under the supervision of the Manager of Coding and Data Quality, following ICD-10-CM Official Coding Guidelines and Luminis Health standards. Responsibilities include reviewing inpatient and outpatient medical records to assign diagnosis and procedure codes accurately using coding systems such as ICD and CPT, ensuring compliance with regulatory requirements including HIPAA, and maintaining high coding accuracy to prevent billing errors and claim denials.
This role involves collaborating with healthcare providers and billing staff, conducting coding audits and quality assurance reviews, researching coding issues, providing training within the department, assisting with coding software implementation, supporting external coding audits, and generating coding-related data reports to guide healthcare management.
Candidates should have a minimum of a high school diploma or equivalent plus medical coding education; a bachelor's degree in health information management or related field is preferred. Required experience includes at least three years of progressive coding experience, with five or more years preferred in an acute care hospital setting. Certification as a CPC, COC, CIC, CCS, CCS-P, or CCA is required, with RHIT or RHIA preferred.
The position is full-time, day shift, and classified as light work with minimal physical demand and low exposure risk to blood-borne pathogens.
Benefits include medical, dental, vision insurance; retirement plan with employer match; paid time off and holidays; tuition assistance; wellness programs; employee assistance programs; and employee referral bonuses.
- High school diploma or equivalent with medical coding education required; bachelor's degree in health information management, business administration, or related field preferred
- Minimum three years progressive medical coding experience; five years preferred, especially hospital acute care coding
- Certification required: CPC, COC, CIC, CCS, CCS-P, or CCA; RHIT or RHIA certification preferred
- Strong knowledge of ICD-10-CM, ICD-10-PCS, CPT coding systems, and official coding guidelines
- Familiarity with HIPAA regulations and medical records confidentiality
- Experience with electronic health records (EHR) systems and coding software tools
- Ability to perform detailed coding audits, quality reviews, and data analysis
- Excellent communication skills to collaborate with healthcare providers and billing teams
- Commitment to ongoing education, professional ethics, and coding standards
- Medical, Dental, and Vision Insurance
- Retirement Plan with employer match for eligible employees
- Paid Time Off and Paid Holidays
- Tuition Assistance Benefits
- Employee Referral Bonus Program
- Disability and Life/AD&D Insurance for full-time employees
- Wellness Programs
- Employee Assistance Programs
*Benefits vary based on employment status.
Location
Maryland, US
Employment Type
Full-time
Experience Level
Senior
Remote work allowed
No
Posted
1 month ago