Coding Team Lead

Spire Orthopedic Partners•Stamford, CT

1d•$35 - $53•Onsite

About The Position

Spire Orthopedic Partners is a growing national partnership of orthopedic practices that provides the support, capital and operational resources physicians need to grow thriving practices for the future. As a Management Services Organization (MSO), Spire provides the infrastructure for administrative operations that allows practices to operate at their highest level, so doctors can focus their efforts on what matters most – patient care. Headquartered in Stamford, Connecticut, the Spire network spans the Northeast with more than 165 physicians, 1,800 employees, 285 other clinical providers and 40 locations in New York, Connecticut, Rhode Island and Massachusetts. The Coding Team Lead is responsible for mentoring and guiding our medical coding team to ensure accurate, timely, and compliant coding of all patient services rendered within the organization.

Requirements

High school diploma or equivalent
Acceptable certification from either AAPC and/or AHIMA
Required to include ICD-10 certification
Proficient and highly knowledgeable of current coding and billing guidelines: ICD-10 CPT HCPCS
Knowledge of current and appropriate use of Modifiers
General knowledge of HIPAA related guidelines specific to coding and billing
General knowledge of current claims filing principles and guidelines
Minimum 5 years' experience with direct coding responsibilities
Minimum 3 years' experience claim filing & billing knowledge

Responsibilities

Onboarding new / additional coders to Spire Coding Team, including: Participation in the interview process with Revenue Integrity Manager, Training / review all needed systems for newly hired certified coders
Work with providers and practice staff to ensure that all charts are coded timely and correctly
Establish back up plan / cross coverage (to address vacations (PTO), unexpected team absences, etc.) to ensure that timely coding is maintained
Assist Coding staff as needed to escalate concerns (to senior staff as needed) regarding incomplete charts that cannot be coded
Monitor practice coding volume and coder workload to ensure adequate workload distribution and to ensure that all completed charts are coded in a timely manner
Comply and prepare other ad hoc reports as needed or requested by Revenue Cycle leadership
Assist Director of Billing and Coding to prepare annual coding staff performance evaluations
Serves as primary resource and support for coding staff
Serves as a liaison between providers, practice leadership and RCM team.
Performs other related duties as assigned.
Assist Coders, Revenue Cycle Representatives, Revenue Cycle Managers and other internal staff engaged with responsibilities related to or responsible for coding of charts for specific / previously identified practices and/or providers.
Assist Coders, Revenue Cycle Representatives, Revenue Cycle Managers and other internal staff engaged with internal and/or external chart audits and reviews to ensure timely and proper completion of all audit task related task.
Assist Revenue Cycle Managers, Practice leadership, Providers and axillary staff as needed with follow up education and support as needed and/or directed by manager.
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