Medical Coder (ICD-10-CM / CPT / HCPCS)

About Lumiknox

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 based in Delaware 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

Required Qualifications

• AAPC CPC certification (active, not lapsed) - registration number required at offer stage
• Minimum 2 years of US healthcare coding experience in a production environment
• Proficiency in ICD-10-CM, CPT, and HCPCS Level II across at least two specialties
• Working knowledge of E/M coding guidelines (1995 and 2021)
• Familiarity with NCCI edits, MUEs, and payer-specific edit logic
• English proficiency - written and verbal - for documentation review and client-facing reports
• Ability to work standard shift hours aligned with US Central or Eastern time zones

Preferred Qualifications

• Experience with multiple specialties including Emergency Department, Inpatient, Outpatient, or ASC coding
• CPC-H, COC, or specialty-specific AAPC credential in addition to CPC
• Familiarity with DRG (Diagnosis-Related Group) assignment methodology
• Prior experience with a US payer-side or BPO coding operation
• Exposure to computer-assisted coding (CAC) tools

What We Offer

• Competitive salary above market rate for AAPC-credentialed professionals
• Structured QA and feedback - you will know exactly how you are performing
• Company-sponsored AAPC continuing education units (CEUs) for credential maintenance
• Opportunity to grow into QA lead, specialty lead, or training roles as Lumiknox scales
• HIPAA-compliant, secure working environment with full VDI infrastructure
• Direct access to founders - flat structure, no bureaucracy

How to Apply

Send your CV to gabrielle@lumiknox.com with subject line: Medical Coder Application - [Your Name]. Shortlisted candidates will complete a 25-chart blinded coding assessment before the interview stage.

Pay: ₹10,153.12 - ₹43,053.84 per month

Benefits

• Leave encashment
• Paid time off
• Work from home

Work Location: Hybrid remote in Vijay Nagar, Indore, Madhya Pradesh