Coder II - Revenue Integrity

Location:Santa Barbara Professional Center -224 Santa Barbara BlvdCape Coral FL 33991

Department: Lee Professional Billing

Work Type: Full Time

Shift: Shift 1/8:00:00 AM to 4:30:00 PM

Minimum to Midpoint Pay Rate:$20.50 - $27.85 / hour

Summary

Lee Health is seeking an experienced Medical Coder II Revenue Integrity to support accurate, compliant outpatient and professional fee coding across our health system. In this role, you will abstract detailed clinical, demographic, and statistical information from medical records and apply correct ICD-10-CM, CPT-4, and APC guidelines. This position plays a key role in our Reconciliation Reduction and Provider Education Project, partnering with Charge Review, reconciliation workflows, and data analysis tools to improve accuracy and financial integrity.

The ideal candidate is a self-starter, highly analytical, skilled in communication, and comfortable presenting findings to leaders and providers. This role is primarily remote but requires the candidate to be local to the Fort Myers/Cape Coral area for periodic on-site training or meetings.

Responsibilities

Core Coding Functions

• Abstract data from medical records into Epic and Solventum/3M 360 to create accurate case summaries.

• Assign ICD-10-CM and CPT-4 codes per national guidelines and department-specific coding rules.

• Identify primary and secondary diagnoses/procedures.

• Ensure compliance with federal and payer-specific requirements, including APC assignment.

Facility Coding Responsibilities

(If working in Facility-Specific workflow)

• Code SDS, Observation, andwhen neededED, Diagnostic, and Ancillary records.

Professional Fee Coding Responsibilities

(If working in Pro-Fee workflow)

• Code Surgical Records, E&M encounters, ED with E&M, and various Diagnostic and Ancillary services.

• Support Documentation Quality Assurance reviews.

Revenue Integrity & Analytical Functions

• Work with Charge Review, Reconciliation Reports, Slicer/Dicer, and Excel-based analysis.

• Audit provider documentation and coding trends to support education and process improvement.

• Present findings or recommendations to internal stakeholders and provider groups.

• Collaborate to reduce reconciliation errors and strengthen accuracy across service lines.

Requirements

Education

• High School Diploma or equivalent required.

Experience

• Minimum 1 year of outpatient multidisciplinary coding and/or Provider E&M Level of Service Coding (Pro Fee) required.

• Experience with Epic and Solventum 360 Pro Fee required.

Certification

At least one of the following is required (other AAPC/AHIMA specialty certifications may be considered):

• CPC Certified Professional Coder

• COC Certified Outpatient Coder

• CPC-P Certified Professional Coder-Payer

• CRC Certified Risk Adjustment Coder

• CIC Certified Inpatient Coder

• CCS Certified Coding Specialist

• RHIT Registered Health Information Technician

• RHIA Registered Health Information Administrator

Skills & Competencies

• Strong understanding of outpatient & pro-fee coding methodologies.

• Ability to analyze and audit clinical documentation and provider notes.

• Excellent written and verbal communication skills; comfortable presenting to groups.

• Proficiency with Epic, 3M/Solventum products, Excel, and reconciliation reporting tools.

• Ability to work independently and manage competing priorities.

Additional Information

• Candidates must reside in or near Fort Myers/Cape Coral, FL and be available for onsite training or meetings as needed.