Medical Coding and Laboratory Order Processing Coordinator

Overview NurseDx Services is seeking an experienced, detail-oriented Medical Coding & Laboratory Order Processing Coordinator to join our team. This position combines two equally important responsibilities: processing incoming laboratory orders and reviewing ICD-10 diagnosis codes for accuracy, medical necessity, and potential insurance reimbursement issues. We are particularly interested in candidates with medical coding experience who understand the relationship between documented patient diagnoses, symptoms, ICD-10 codes, and laboratory tests. The ideal candidate will be analytical, highly organized, and capable of identifying coding discrepancies and potential billing issues before claims are submitted. Key Responsibilities Medical Coding & Diagnosis Review (50%) Review laboratory orders for appropriate ICD-10 diagnosis codes. Evaluate whether the diagnosis codes provided are consistent with the patient's documented diagnoses, symptoms, and ordered laboratory tests. Identify diagnosis codes that may not meet Medicare or other insurance medical necessity requirements. Research Medicare LCDs, NCDs, and payer-specific coverage guidelines. Identify screening and routine diagnosis codes that may result in non-covered laboratory services. Communicate with ordering providers to obtain clarification or additional documented diagnoses when necessary. Flag potential coding and reimbursement issues before billing. Maintain accurate records of coding discrepancies and resolutions. Coordinate with the billing department to help reduce preventable claim denials. Laboratory Order Processing (50%) Receive, review, and process incoming laboratory orders accurately and efficiently. Enter patient demographics, insurance information, laboratory tests, and ICD-10 codes into our EMR system. Verify patient insurance eligibility and coverage. Ensure laboratory orders contain complete and accurate information. Identify missing or incomplete information and follow up with ordering providers. Review test requirements and ensure correct test selection. Coordinate with internal staff to facilitate timely processing of laboratory orders. Maintain accuracy and efficiency while managing a high volume of orders. Required Qualifications Previous experience in medical coding, preferably involving laboratory or diagnostic testing. Strong working knowledge of ICD-10-CM diagnosis codes and medical terminology. Ability to interpret clinical documentation and identify potential coding discrepancies. Understanding of Medicare medical necessity and insurance reimbursement requirements. Excellent attention to detail, accuracy, and analytical skills. Strong computer, organizational, and communication skills. Ability to work independently and manage multiple responsibilities. Preferred Qualifications CPC, CCS, or equivalent medical coding certification. Experience in clinical laboratory billing or coding. Familiarity with laboratory CPT codes. Experience with Medicare LCDs and NCDs. Experience processing laboratory orders or working with EMR systems. Knowledge of insurance eligibility verification and claim denial prevention. Ideal Candidate We are looking for someone with a strong coding background who can recognize when a diagnosis code may not appropriately support a laboratory test and knows how to research and resolve the issue. The candidate must also be willing and able to perform daily laboratory order processing responsibilities with the same level of accuracy and attention to detail. This is a dual-function position requiring both medical coding knowledge and hands-on administrative order processing. Pay: $24.00 - $28.00 per hour Expected hours: 40.0 per week Benefits: Dental insurance Health insurance Paid time off Vision insurance Experience: medical coding: 3 years (Required) laboratory tests: 3 years (Required) License/Certification: Medical Coding Certification (Preferred) Shift availability: Day Shift (Required) Work Location: In person

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