Role Description The Medical Lead Coder under the supervision of the Manager of Coding and Data Quality assists with oversight of daily Inpatient coding operations in accordance with Luminis Health coding guidelines, ICD-10-CM Official Coding Guidelines for Coding and reporting, and other authoritative resources. This position may include: - Reviewing Inpatient medical records to extract pertinent information for code assignment. - Assigning principal and significant secondary ICD-10-CM diagnosis codes and ICD-10-PCS procedure codes. - Ensuring compliance with coding guidelines, conventions, and regulatory requirements, including HIPAA. - Utilizing coding references, software tools, and electronic health records (EHR) for accurate code assignment. - Maintaining a high level of accuracy in code assignment to prevent claim denials and billing errors. - Staying updated with coding changes, industry trends, and regulatory updates. - Collaborating with healthcare providers and billing staff to clarify documentation and resolve coding-related queries. - Participating in ongoing education, training, and certification programs. - Upholding professional ethics, integrity, and confidentiality in handling patient information. - Conducting regular audits and quality assurance reviews to monitor coding accuracy. - Generating reports and providing coding-related data analysis to support healthcare management. - Assisting in the development and implementation of coding policies and procedures. - Providing support during external coding audits. - Maintaining a positive and collaborative working relationship with stakeholders. Qualifications - High School diploma or equivalent and Medical Coding Education. - Preferred: Bachelor’s degree in health information management, business administration, or related field. - Three (3) years of verifiable, progressive coding experience. - Preferred: More than five (5) years of coding experience in an acute care hospital setting. - Certification as a Certified Professional Coder (CPC), Certified Outpatient Coder (COC), Certified Inpatient Coder (CIC), Certified Coding Specialist (CCS), or Certified Coding Specialist Physician-Based (CCS-P), or a Certified Coding Associate (CCA) required. - Preferred: Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA). Requirements - Light work, exerting up to twenty pounds of force occasionally. - Reasonable expectation of no exposure to blood-borne pathogens. Benefits - Medical, Dental, and Vision Insurance. - Retirement Plan (with employer match for employees who work more than 1000 hours in a calendar year). - Paid Time Off. - Tuition Assistance Benefits. - Employee Referral Bonus Program. - Paid Holidays, Disability, and Life/AD&D for full-time employees. - Wellness Programs. - Employee Assistance Programs and more.

• Responsible for abstraction and assigning valid CPT, ICD-10, HCPCs codes and modifiers • Accurately abstracts information from service documentation • Assigns and sequences appropriate CPT, ICD-10, and HCPCs codes into billing systems • Reviews and resolves coding denials • Completes documentation meeting current EM Guidelines for providers

For 30 years, Surgical Information Systems (SIS) has empowered surgical providers to Operate Smart™ by delivering innovative software and services that drive clinical, financial, and operational success. For ambulatory surgery centers (ASCs), SIS provides comprehensive software and services, including ASC management, electronic health records (EHRs), patient engagement capabilities, compliance technology, and revenue cycle management and transcription services, all built specifically for ASCs. For hospital perioperative teams, SIS offers an easy-to-use anesthesia information management system (AIMS). Serving over 2,900 surgical facilities, SIS is committed to delivering solutions that enable surgical providers to focus on what matters most: delivering exceptional patient care and outcomes. Recognized as the No. 1 ASC EHR vendor by Black Book for 11 consecutive years and honored with the Best in KLAS Award for ASC Solutions in 2026, 2025, 2023, and 2022, SIS remains the trusted choice for surgical providers seeking to enhance their performance. Discover how SIS can help you Operate Smart™ at sisfirst.com. SUMMARY: This position is a new addition to the team due to continued company growth and represents an excellent opportunity to join a growing Coding organization. We are seeking a motivated and detail-oriented Certified Coder who is eager to make an impact by ensuring accurate, compliant, and timely coding for ambulatory surgical procedures. This role is ideal for someone who enjoys precision, collaboration, and contributing to the financial and data integrity of healthcare operations within a supportive, remote environment. ESSENTIAL DUTIES/ RESPONSIBILITIES: - - Review, analyze, and accurately code ambulatory surgical procedures for reimbursement. - Obtain and review operative reports, implant invoices, implant logs, and pathology reports as applicable. - Ensure accurate, complete, and consistent coding practices to support high-quality healthcare data. - Adhere to ICD-9/ICD-10 coding conventions and official coding guidelines approved by CPT, AMA, AAOS, and CCI. - Apply current knowledge of mandated coding and classification systems, along with official resources, to select appropriate diagnostic and procedural codes. - Assign and report codes that are clearly supported by documentation in the patient health record. - Collaborate with physicians to obtain clarification or additional documentation when data is conflicting, incomplete, or ambiguous. - Support optimal and compliant reimbursement while ensuring adherence to all legal and regulatory requirements. - Assist with physician and clinician education by promoting proper documentation practices. - Maintain and enhance coding expertise by staying current with changing codes, guidelines, and regulations. - Maintain a coding accuracy rate of 90% or higher. - Code a minimum of 50 cases per day while maintaining quality and compliance. - Review operative reports for accuracy, identifying omissions or errors and returning them for correction as needed. - Ensure equitable coding practices for all third-party carriers and self-pay cases. - Adhere to OIG guidelines, ensuring: - Diagnosis coding is accurate and carried to the highest level of specificity. - Claim forms are not altered to obtain higher reimbursement. - All coding accurately reflects services provided, with careful review for unbundling, up-coding, or downcoding. - Participate in claim denial reviews related to coding issues and provide appropriate supporting documentation when required. - Complete coding variance or code disagreement forms for assigned centers, as applicable. - Maintain and update coding site-specific requirements for each assigned center. - Identify, track, and follow up on cases that cannot be billed due to missing documentation, providing documented requests to centers on a daily or weekly basis. - Perform month-end closing activities within established timeframes, including running reports and tracking unbilled cases. - Participate in internal audits and make corrections as identified to ensure ongoing quality and accuracy. - Nothing in this job description restricts management’s right to assign or reassign duties and responsibilities to this job at any time EDUCATION DESIRED: - High school graduate or GED certification SPECIFIC KNOWLEDGE & SKILLS REQUIRED: - Current certification in one of the following: CPC, RHIA, or RHIT. - Completion of formal education in ICD-9-CM/ICD-10/CPT coding, medical terminology, anatomy and physiology, and disease processes. - Proficiency with computers and Windows-based software. - Strong written and verbal communication skills in English. - Collaborative and professional work style with colleagues, management, physicians, patients, and external partners. - Ability to represent the company positively with patients, insurance carriers, and the general public. - Strong problem-solving skills related to assigned responsibilities. - Minimum of two years of acute care coding experience, including Inpatient, SDS, and ER cases, with a strong emphasis on Inpatient coding BENEFITS: - Benefit package including Medical, Vision, Dental, Short Term Disability, Long Term Disability, and Life Insurance - Vacation/Sick time - 401(k) retirement plan with company match - Paid Holidays - SIS Cares Day - Hybrid or Remote environment depending on the role We believe employees are our greatest asset and we empower them to make a difference in our business. Diversity and inclusion makes us all better. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, age, disability, protected veteran status, and all other protected statuses Surgical Information Systems is an Equal Opportunity Employer and complies with applicable employment laws. M/F/D/V/SO are encouraged to apply. At this time we are unable to sponsor H1B candidates

• Review, analyze, and accurately code ambulatory surgical procedures for reimbursement. • Obtain and review operative reports, implant invoices, implant logs, and pathology reports as applicable. • Ensure accurate, complete, and consistent coding practices to support high-quality healthcare data. • Adhere to ICD-9/ICD-10 coding conventions and official coding guidelines approved by CPT, AMA, AAOS, and CCI. • Maintain and enhance coding expertise by staying current with changing codes, guidelines, and regulations. • Assist with physician and clinician education by promoting proper documentation practices. • Participate in claim denial reviews related to coding issues and provide appropriate supporting documentation when required.