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Facility Medical Coder II

Lexington Medical Center
Columbia, SC Full Time
POSTED ON 12/31/2025
AVAILABLE BEFORE 2/28/2026
Coding
Full Time
Day Shift
8:00-4:30

Lexington Health is a comprehensive network of care that includes six community medical and urgent care centers, nearly 80 physician practices, more than 9,000 health care professionals and Lexington Medical Center, a 607-bed teaching hospital in West Columbia, South Carolina. It was selected by Modern Healthcare as one of the Best Places to Work in Healthcare and was first in the state to achieve Magnet with Distinction status for excellence in nursing care. Consistently ranked as best in the Columbia Metro area by U.S. News & World Report, Lexington Health delivers more than 4,000 babies each year, performs more than 34,000 surgeries annually and is the region's third largest employer.

Lexington Health also includes an accredited Cancer Center of Excellence, the state’s first HeartCARE Center, the largest skilled nursing facility in the Carolinas, and an Alzheimer’s care center. Its postgraduate medical education programs include family medicine and transitional year residencies, as well as an informatics fellowship.
Job Summary
Assigns appropriate ICD and CPT codes for reimbursement and statistical purposes. Follows ICD, CPT, CMS, and other regulatory coding guidelines. Abstracts clinical information from medical records for complete and accurate statistical documentation.
Minimum Qualifications
Minimum Education: High School Diploma or Equivalent
Minimum Years of Experience: 3 Years of Experience in Facility Coding Covering Multiple Services (Combination of DRG and OP Services or Multiple OP Services), which they successfully met quality and productivity standards.
Substitutable Education & Experience (Optional): None.
Required Certifications/Licensure: At least one active certification (RHIA/RHIT//CCS/CCS-P//CPC/CPC-H/COC//CIC)
Required Training: Experience working in a combination of the following areas: ED, OPS, or IP;
Completion of courses in Anatomy, Physiology, and Medical Terminology;
Must be computer literate and have experience with Microsoft applications (i.e., Word, Excel, Outlook);
Experience with electronic health records software.
Essential Functions
  • Reviews and interprets facility inpatient and outpatient medical documentation to accurately assign ICD and CPT codes for reimbursement and statistical purposes.
  • Abstracts information into computer for reimbursement and statistical purposes.
  • Researches and stay current with trends in healthcare coding and compliance.
  • Keeps department manager up to date with any coding or documentation issues.
  • Must work independently and collaboratively to support the achievement of department People, Quality, Finance, and Service goals as well as organizational goals.
Duties & Responsibilities
  • Works as a team with physicians, coding staff and other hospital personnel to ensure proper and accurate code assignment and continuous quality improvement.
  • Reports to work in a timely manner and adheres to attendance policies. Conscientious of scheduling time off in advance so as not to interfere dramatically with coding turnaround times.
  • Other duties may include:
    a. Review of Daily Medical Necessity Report
    b. Assisting Coding Manager with supervision of Clinical Affiliations
  • Performs all other duties as assigned.
We are committed to offering quality, cost-effective benefits choices for our employees and their families:
  • Day ONE medical, dental and life insurance benefits
  • Health care and dependent care flexible spending accounts (FSAs)
  • Employees are eligible for enrollment into the 403(b) match plan day one. LHI matches dollar for dollar up to 6%.
  • Employer paid life insurance – equal to 1x salary
  • Employee may elect supplemental life insurance with low cost premiums up to 3x salary
  • Adoption assistance
  • LHI provides its full-time employees employer paid short-term disability and long-term disability coverage after 90 days of eligible employment
  • Tuition reimbursement
  • Student loan forgiveness
Equal Opportunity Employer
It is the policy of Lexington Health to provide equal opportunity of employment for all individuals, and to remain compliant with applicable state and federal laws and regulations. Lexington Health strives to provide a discrimination-free environment, and to recruit, select, on-board, and employ all employees without regard to race, color, religion, sex, age, disability, national origin, veteran status, or pregnancy, childbirth, or related medical conditions, including but not limited to, lactation. Lexington Health endeavors to upgrade and promote employees from within the hospital where possible and consistent with the employee’s desires and abilities and the hospital’s needs.

Salary.com Estimation for Facility Medical Coder II in Columbia, SC
$54,765 to $70,766
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