Coding Lead
About The Position
Carolina NeuroSurgery & Spine Associates (CNSA), established in 1940, is one of the largest and most highly respected neurosurgical private practices in the nation. As a physician-led, multi-site organization, we are recognized for clinical excellence and innovation in brain and spine care. Through our growing MSO, PracticeCore, and strategic partnerships, we are building a scalable, forward-thinking platform to support providers and deliver exceptional patient care. This is a full-time position located in Charlotte, NC. The Coding Lead is responsible for the day-to-day leadership, quality, and performance of the professional coding function. This role serves as the operational backbone of the coding team – ensuring coding accuracy, compliance with payer and regulatory guidelines, and consistent throughput across a high-volume, multi-specialty surgical and procedural environment. The Coding Lead acts as the primary point of escalation for complex coding scenarios, denial-related coding issues, and provider documentation gaps, while building the SOPs, training infrastructure, and quality controls that allow the coding function to scale across multiple entities. This is a hands-on role: the Coding Lead will code and audit alongside the team while also coaching, training, and holding coders accountable to productivity and accuracy standards.
Requirements
- Active coding certification (CPC, CCS, or equivalent) through AAPC or AHIMA
- Minimum 5 years of professional coding experience, including surgical/procedural specialty coding
- Minimum 2 years in a lead, senior, or quality-review coding capacity
- Strong working knowledge of CPT, ICD-10-CM, HCPCS, and NCCI/payer edit logic
- Experience with Epic practice management and coding workflows
- Demonstrated ability to coach and develop coding staff
Nice To Haves
- Coding experience specific to neurosurgery, orthopedic spine, or related surgical specialties
- Experience supporting prior-authorization and RFA-related billing compliance
- Familiarity with denial management and root-cause analysis processes
- Exposure to multi-entity or MSO coding operations
- Additional specialty certification (e.g., CPC-S, COSC)
Responsibilities
- Lead and coordinate daily coding operations across assigned work queues (WQs), ensuring timely, accurate, and compliant code assignment for professional services
- Serve as subject matter expert and escalation point for complex coding scenarios, including surgical, procedural, and E/M coding for neurosurgery, spine, and related specialties
- Oversee coding inquiries and email inbox
- Monitor coder productivity, accuracy, and WQ aging; rebalance physician/provider load assignments as needed
- Conduct coding audits and quality reviews; identify error patterns and provide targeted coaching and feedback to coding staff
- Partner with the Head of RCM and Process Improvement to build and maintain coding SOPs, including escalation paths for authorization mismatches, surgical order specificity gaps, and research billing scenarios
- Identify and document denial patterns related to coding, and collaborate with billing and AR teams on root-cause resolution
- Maintain current knowledge of CPT, ICD-10, HCPCS, and payer-specific coding guidelines, including Medicare Advantage policy nuances
- Support onboarding and training of new coding staff, including certification pathway support and ongoing education
- Act as liaison between coding staff and providers/clinical operations on documentation clarity and specificity issues
- Participate in RFA, research billing, and other cross-functional coding compliance initiatives as they arise
- Provide regular performance and quality reporting to RCM leadership
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed
