Certified Medical Coder

Description Who We Are At Lucet, we are industry leaders in behavioral health, dedicated to helping people live healthy, balanced lives. Our purpose is to advocate for and improve the overall well-being of those we serve, through balanced treatment of the mind and body. When you join Lucet, you become a valued member of our team, serving more than 15 million people across the U.S. Our employees have a passion for helping others - and it shows. From entry-level employees to senior leaders, we are inspired by our members, putting them first in everything we do. From day one, you'll see firsthand the impact you have on our members, knowing you can make a true difference in their lives. Why Join our Team At Lucet, we’re committed to creating a workplace where top talent thrives both personally and professionally. We offer a dynamic, mission-driven environment where your work has real impact, your unique background and experience are valued, and no two days are alike. If you’re passionate about meaningful work and delivering impactful results, we encourage you to apply! We support our team with a competitive compensation and benefits package, including: Hourly compensation between $26.50 - $27.50, PLUS an annual performance-based, discretionary incentive. *Compensation is dependent on non-discriminatory factors including but not limited to an applicant's skills, education/degrees, certifications, prior experience, market data, and other relevant factors. 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) Opportunity for meaningful growth, both personally and professionally, where your unique background and experience is welcomed and valued. At Lucet, your work will directly support our mission to improve behavioral, physical, and social health—one member at a time. What You Will Do - Essential Functions 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. Coding Expertise & Quality Assurance 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. Regulatory Compliance & Professional Development 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. Operational Excellence & Process Improvement 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. Who You Are Required Qualifications 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. Professional demeanor and a strong work ethic, reliable, resourceful, enthusiastic, team player with positive attitude Problem Solving: You are a problem solver with the ability to encourage others in collaborative problem solving. Excellent analytical, written and verbal communication skills, organizational, time management. Bilingual (Spanish) is strongly desired Ability to pass background check upon hire and throughout employment to include criminal felony & misdemeanor search, SSN validation/trace search (LEIE), education report (highest degree obtained), civil upper and lower search, 7-year employment report, federal criminal search, statewide criminal search, widescreen plus national criminal search, health care sanctions-state med (SAM), national sex offender registry, prohibited parties (OFAC) (terrorist watchlist), and a 10-Panel Drug Screen. Someone who embodies our values by: Serving everyone with compassion and leading with empathy. Stepping up and creating value by taking charge and acting when there is an opportunity. Adapting in a changing world by recognizing our responsibility to be agile and respond quickly. Nurturing growth and belonging by respecting and celebrating everyone for who they are. Competencies Responsible with a high level of integrity and ethical standards Intuitive nature to identify compliance irregularities Excellent communication and interpersonal skills, with the ability to collaborate across teams. Working Conditions: High-speed internet service (cable or fiber optic) with minimum download Speed of 20 Mbps, Upload Speed of 5 Mbps, and Maximum Latency of 100 milliseconds (must be installed before starting) required. Frequent use of computer and phone systems Must be able to constantly remain in a stationary, sitting position, communicate and exchange information with others, inspect information, perform repetitive motions with arms and fingers, interpret data, problem solve, make decisions, organize and plan, and maintain a positive and professional attitude in all situations. Work is performed from home with company-provided equipment. Travel between multiple residences or remote work locations is not supported for this position; employees must establish and work consistently from a single designated home office. Sitting for long periods of time attached to a wired headset using desktop equipment is expected. Use of a hardwired internet connection is required to maintain call quality and system performance; mobile or portable setups are not permitted. A quiet workspace with minimal background noise for calls. We encourage applicants from a variety of backgrounds and experiences to apply, especially those who can demonstrate how their unique qualifications and skills align with the requirements of this role and support our mission to improve whole-person health. This position will accept and review new applications and resumes no less than 5 business days after the original posting date and may remain open an extended period of time with no set end date based on the level of interest.