Data Analyst/Medical Coder - ICD-10-CM / CPT / HCPCS

About Lumiknox ( www.Lumiknox.com) Lumiknox is a HIPAA-compliant healthcare revenue integrity firm serving US health plans, Medicare Advantage organizations, and Third-Party Administrators. We deliver AAPC-credentialed medical coding, HCC risk adjustment, HEDIS abstraction, and claims integrity services with documented 95%+ first-pass accuracy SLAs. Our delivery infrastructure is built on AES-256 encrypted VDI, SFTP-secured file exchange, and a two-tier QA framework with full coder-level accuracy attribution. We are Delaware based LLC. We are building the team that will define Lumiknox's quality standard from the ground up. The Role As a Medical Coder at Lumiknox, you will be responsible for accurate ICD-10-CM, CPT, and HCPCS Level II code assignment across multiple physician specialties for US payer clients. You will work within our two-tier QA framework, receiving structured feedback on every coding decision, and contribute to a delivery standard that clients measure against documented accuracy benchmarks. This is a production coding role with a clear accuracy accountability framework. You will be expected to meet a 95%+ first-pass accuracy standard within 60 days of joining.

Responsibilities

• Assign ICD-10-CM, CPT, and HCPCS Level II codes accurately from physician documentation, operative reports, lab results, and discharge summaries
• Apply 1995 and 2021 E/M documentation guidelines for Evaluation and Management coding
• Identify and apply relevant NCCI (National Correct Coding Initiative) edit logic and MUE (Medically Unlikely Edits) compliance
• Review medical records for documentation completeness and flag CDI queries where appropriate
• Meet daily production targets while maintaining accuracy above the minimum 95% first-pass threshold
• Participate in structured QA review sessions and apply feedback to coding decisions
• Stay current with quarterly CPT updates, ICD-10 annual updates, and payer-specific LCD/NCD policies
• Maintain strict HIPAA compliance - all PHI handled exclusively within Lumiknox's VDI environment