Certified Medical Coder

🔥 17 hours ago

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Lucet

WebsiteLinkedInAll Job Openings

501 - 1000 employees

⚕️ Healthcare Insurance

☁️ SaaS

🤝 B2B

Healthcare Insurance • SaaS • B2B

Lucet is a tech-enabled behavioral health company that combines human care teams and digital tools to connect individuals to timely, in-network mental health and substance-use care. It partners with health plans, employers, providers, and members through portals (employer/HR, member, provider, partner) and services such as EAP, care navigation, and provider resources to optimize access, quality, and value-driven behavioral healthcare.

📋 Description

• The role of the Certified Medical Coder is to review and code medical records in their entirety, assigning appropriate ICD-10-CM codes (as defined by ICD-10-CM Guidelines and CMS) from any/all CMS acceptable documents to be used for financial purposes. • Ensures adherence to Lucet and Departmental Policies and Procedures. • Demonstrate advanced knowledge of medical coding across multiple specialties or provide subject matter expertise in a critical specialty area. • Ensure accurate, complete, and compliant assignment of diagnosis codes while maintaining a minimum of 95% coding accuracy and completeness. • Maintain current knowledge of ICD-10-CM guidelines, HCC risk adjustment models, Medicare reimbursement requirements, and applicable federal regulations. • Adhere to HIPAA standards and confidentiality requirements while actively participating in training, education programs, and professional development opportunities. • Utilize multiple systems and tools to research medical records, manage priorities effectively, and meet productivity expectations in a remote work environment. • Support quality improvement initiatives, respond promptly to communications, attend required meetings, and contribute to process enhancement efforts.

🎯 Requirements

• 2 years prior work experience in the healthcare field specifically related to coding is preferred. • Must be in good standing with either AAPC and/or AHIMA and hold an active CPC, CRC, CCS, CPC-P, CCS-P or PCS with high degree of competence in this area a plus • ICD-10 Proficiency is required. • Experience in review/audit of medical records coding and development of process improvement plans required • Prior medical chart auditing/quality experience preferred. • Advanced knowledge of medical terminology, abbreviations, anatomy and physiology, major disease processes, and pharmacology. • Experience with hospital coding is preferred • Managed Care methodology experience a plus. • National RAD-V experience a plus. • Bilingual (Spanish) is strongly desired • Ability to pass background check upon hire and throughout employment

🏖️ Benefits

• Comprehensive health benefit options: Medical, dental, and vision coverage • 401(k) with competitive employer match • Company-paid life and disability insurance • Paid parental leave and wellbeing incentives • Generous paid time off, including volunteer time • Flexible spending accounts for healthcare and dependent care • Professional development opportunities and tuition reimbursement • Remote work flexibility (role-dependent)