Lead Professional Coder

At Logan Health, we're more than just a healthcare provider – we’re a community. Nestled in the heart of Montana, we are committed to delivering exceptional care to our patients while fostering a supportive and collaborative work environment for our team. As a member of Logan Health, you'll be part of a dynamic team that values compassion, innovation, and excellence. We offer opportunities for growth, comprehensive benefits, and a chance to make a meaningful impact in the lives of those we serve. Come join us and experience the Logan Health difference, where your passion meets purpose in a place, you’ll be proud to call home. Our Mission: Quality, compassionate care for all. Our Vision: Reimagine health care through connection, service and innovation. Our Core Values: Be Kind | Trust and Be Trusted | Work Together | Strive for Excellence. Help ensure the accuracy behind exceptional patient care! Location: Remote (See Approved States) Schedule: Day Shift – 8 Hours | Full Time – 40 Hours Compensation: $28.75 - $40.25 (dependent on relevant experience) Application Note: Applicants are encouraged to include their coding certification(s) (such as CCS, CPC, or AAPC, or other applicable credentials), certification number, and expiration date on their resume or application whenever possible. Providing this information allows for quicker credential verification and may help expedite the review process. Join our Revenue Integrity team and play a key role in supporting quality patient care through accurate coding, regulatory compliance, and revenue cycle excellence. As a Lead Revenue Integrity Coding Specialist, you'll combine your advanced coding expertise with leadership responsibilities to help ensure accurate reimbursement, mentor team members, and promote continuous quality improvement across the organization. If you enjoy solving complex coding challenges, collaborating across departments, and serving as a trusted resource for your team, we'd love to hear from you. Key Responsibilities Assign and sequence ICD-10-CM and CPT-4 codes for a variety of patient encounters, including inpatient, outpatient, ambulatory, and emergency department records. Accurately code advanced and complex procedural accounts with multiple components. Review medical records for documentation deficiencies and ensure diagnoses and procedures are accurately reflected according to coding guidelines. Review charges for accuracy, verify medical necessity, and collaborate with providers and departments to obtain complete supporting documentation. Perform timely follow-up on accounts requiring additional documentation or clarification. Complete charge capture, data entry, and clinical data abstraction while ensuring regulatory, compliance, and reporting requirements are met. Verify patient account information, encounter types, and demographic data while coordinating corrections with Patient Access when needed. Maintain compliance with all federal, state, and organizational coding standards and regulations. Meet established productivity and quality benchmarks while maintaining a high level of coding accuracy. Participate in continuing education and stay current on coding guidelines, regulations, and industry best practices. Support departmental quality improvement initiatives and identify opportunities for process enhancement. Leadership Responsibilities As a Lead Revenue Integrity Coding Specialist, you may also: Create work schedules and assign daily work responsibilities. Train, mentor, and support new and existing team members. Coordinate competency assessments and required employee training. Serve as a subject matter expert and primary resource for coding questions and workflow guidance. Assist with interviewing and onboarding new employees. Lead or coordinate coding compliance, auditing, and quality improvement initiatives. Perform additional leadership-related responsibilities as assigned by management. Required Qualifications 4+ years of coding experience in an acute care or medical office setting. 2+ years of experience utilizing electronic medical record (EMR) systems for data entry and retrieval. Nationally recognized coding certification required (such as CCS, CPC, or AAPC). Other specialty coding certifications may be considered. Thorough knowledge of ICD-10-CM, CPT-4, coding guidelines, reimbursement methodologies, and industry best practices. Strong understanding of anatomy, physiology, medical terminology, health information management, and coding classification systems. Proficiency with Microsoft Office Suite and the ability to quickly learn additional software applications. Commitment to maintaining patient confidentiality and compliance with all applicable regulations. Preferred Qualifications Previous experience serving as a lead, mentor, trainer, or subject matter expert within a coding or revenue integrity environment. Experience supporting coding compliance, quality assurance, auditing, or process improvement initiatives. Experience coding across multiple specialties and patient settings. Additional Skills & Attributes Exceptional attention to detail with a strong commitment to coding accuracy. Excellent organizational and time management skills with the ability to prioritize competing responsibilities. Strong analytical and critical thinking skills. Excellent verbal and written communication skills. Ability to work both independently and collaboratively in a team-oriented environment. Professionalism, discretion, and sound judgment when handling sensitive and confidential information. Self-motivated with a continuous improvement mindset and dedication to lifelong learning. Reliable attendance and punctuality in accordance with departmental scheduling expectations. This position offers full-time remote work.   To be eligible, you must reside in one of the following states:    Arizona  Arkansas  Colorado  Florida  Hawaii  Idaho  Illinois Indiana  Kansas  Michigan  Missouri  Montana  Minnesota  North Carolina  Ohio Oregon  Tennessee  Texas  Virginia  Washington  Logan Health takes great pride in offering its employees a comprehensive benefits package that includes: Health, Dental, and Vision insurance 401(k) with generous matching Life and disability insurance options Critical Illness and Voluntary Accident options Paid time off, Holiday pay, and Illness bank Tuition Reimbursement Program Employee referral bonuses Employee Assistance Program (EAP) Wellness coaching, incentives, and more Discounted Logan Health Fitness Center membership Free parking --- Qualifications: Possess knowledge and understanding of ICD 10 CM, CPT 4 coding guidelines, and practices required. Minimum of four (4) years’ coding experience in an acute care or medical office setting required. Nationally recognized coding certification such as CCS, CPC or AAPC is required. Other specialty certifications may be considered. Minimum of two (2) years’ work-related experience with computer data entry and retrieval skills within an electronic medical record system required. Must possess ability to learn other software as needed. Thorough knowledge of classification and nomenclature anatomy, medical terminology, and health information management procedures and practices required. Excellent organizational skills, detail-oriented, a self-starter, possess critical thinking skills and be able to set priorities and function as part of a team as well as independently. Commitment to working in a team environment and maintaining confidentiality as needed. Excellent verbal and written communication skills including the ability to communicate effectively with various audiences. Excellent interpersonal skills with the ability to manage sensitive and confidential situations with tact, professionalism, and diplomacy. Possess and maintain computer skills to include working knowledge of Microsoft Office Suite and ability to learn other software as needed. Job Specific Duties: Assigns and sequences ICD 10 CM and CPT 4 codes for all specialty patient types, billing, and reimbursement. These include, but may not be limited to; inpatient, outpatient, ambulatory, and emergency room records. Accurately codes advanced procedure accounts consisting of numerous components. Reviews and analyzes medical records for documentation deficiencies. Accurately reflects the diagnosis and procedures per department procedure. Reviews charges, ensures accuracy, and checks for medical necessity for ordered tests and/or procedures. Proactively communicates with appropriate stakeholders to ensure adequate documentation to support services. Performs timely follow-ups for accounts on hold. Performs charge capture and data entry per department protocol and procedure. Accurately abstracts clinical data after documentation assessment and review. Ensures accurate abstracting of clinical data and meets regulatory and compliance requirements. Accurately follows coding guidelines and legal requirements to ensure compliance with Federal and State regulatory bodies. Verifies accuracy of patient account, type, and demographic data. Coordinates corrections with Patient Access and ensures accurate billing, reimbursement, and reporting. Meets productivity standards set forth by Revenue Integrity Coding Department. Exhibits initiative and supports continuous quality improvement efforts. Successfully participates in continuing education activities to enhance knowledge and skills related to the position. Lead may be expected to perform one (1) or more of the following tasks regularly: Creates work schedule and assigns employees to specific work tasks. Trains or coordinates the training of employees. Oversees and coordinates successful completion of employees’ competency assessments and required training. Acts as point-of-contact/subject matter expert for employee questions about expectations and processes. Assists in interviewing job candidates. Leads or coordinates compliance and quality efforts. Other duties as assigned at the discretion of management, excluding issuing corrective actions or administering performance evaluations The above essential functions are representative of major duties of positions in this job classification. Specific duties and responsibilities may vary based upon departmental needs. Other duties may be assigned similar to the above consistent with knowledge, skills and abilities required for the job. Not all of the duties may be assigned to a position. Maintains regular and consistent attendance as scheduled by department leadership. Shift: Day Shift - 8 Hours (United States of America) Location: Remote (See Approved States) Schedule: Day Shift – 8 Hours | Full Time – 40 Hours Logan Health operates 24 hours per day, seven days per week. Schedules are set to accommodate the requirements of the position and the needs of the organization and may be adjusted as needed. Notice of Pre-Employment Screening Requirements If you receive a job offer, please note all offers are contingent upon passing a pre-employment screening, which includes: Criminal background check Reference checks Drug Screening Health and Immunizations Screening Physical Demand Review/Screening Equal Opportunity Employer Logan Health is an Equal Opportunity Employer (EOE/AA/M-F/Vet/Disability). We encourage all qualified individuals to apply for employment. We do not discriminate against any applicant or employee based on protected veteran status, race, color, gender, sexual orientation, religion, national origin, age, disability or any other basis protected by applicable law. If you require accommodation to complete the application, testing or interview process, please notify Human Resources. At Logan Health, our work is driven by our mission, vision, and values: Our Mission Quality, compassionate care for all. Our Vision Reimagine health care through connection, service, and innovation. Our Core Values Be Kind – We foster compassion and positivity in our work environment. Work Together – Collaboration leads to innovation, efficiency, and improved communication. Trust and Be Trusted – We build trust by acting with authenticity, empathy, and good intent. Strive for Excellence – We continually push ourselves to improve, innovate, and deliver high-quality care and services.