The Team Lead, Coding assist with supervising the coding team, participate in daily coding, and help with Client and internal Revenue Cycle requests. Will play a key role in reviewing and analyzing medical billing and coding for processing and accurately code ambulatory surgical procedures for reimbursement.
ESSENTIAL DUTIES/ RESPONSIBILITIES:
- Interface with Clients and internal Revenue Cycle teams daily to assist with requests, questions, information, etc.
- Assist Coding Manager in client management, including emails, phone calls, and video meetings with client staff as well as physicians
- Assist Coding Manager related to denial management and coding reviews with clients to help drive client education and satisfaction
- Help support Coding leadership in addressing and managing client escalations and concerns
- Reviewing production coders work for quality
- Provide clear, concise, and compliant written feedback to coders
- Identify coder and/or documentation deficiencies and communicate them to the management team as needed
- Participate in production coding daily as defined by management, based on department needs
- Supports the importance of accurate, complete and consistent coding practices for the production of quality healthcare data.
- Adheres to the ICD-9/ICD-10 coding conventions, official coding guidelines approved by CPT, AMA, AAOS, and CCI.
- Uses skills and knowledge of the currently mandated coding and classification systems, and official resources to select the appropriate diagnostic and procedural codes.
- Assigns and reports the codes that are clearly supported by documentation in the health record.
- Consults physicians for clarification and additional documentation prior to code assignment when there is conflicting or ambiguous data in the health record.
- Strives for the optimal payment to which the facility is legally entitled.
- Assists and educates physicians and other clinicians by advocating proper documentation practices.
- Maintains and continually enhances coding skills. Coders need to be aware of changes in codes, guidelines, and regulations. They are required to maintain 90% or above coding accuracy average.
- Provides coding coverage based on client needs and capacity daily
- 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:
- Coding certification through AAPC or AHIMA (CPC, COC, RHIT, CCS, etc., no apprentice designation)
- Successful completion of formal education in basic ICD-9-CM/ICD-10/CPT coding, medical terminology, anatomy/physiology and disease process.
- 5 years outpatient surgical coding
- 1 year of team lead experience or successful display of leadership qualities
- Ability to work independently and as part of a team
- A high degree of flexibility and professionalism
- Excellent organizational skills
- Outstanding communications skills; both verbal and written
- Knowledge of computers and Windows-driven software
- Excellent command of written and spoken English
- Minimum of 2 years acute care coding experience of all patient types Inpatient, SDS and ER, with strong experience in Inpatient.
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
