Coding Team Lead

Spire Orthopedic Partners•Stamford, CT

About The Position

The Coding Team Lead mentors and guides the medical coding team to ensure accurate, timely, and compliant coding of patient services across Spire Orthopedic Partners. The role supports coders and works with providers, practice staff, practice leadership, and the Revenue Cycle Management team to maintain coding timeliness and quality. It also supports onboarding, workload coordination, reporting, performance evaluations, and audit-related activities.

Requirements

High school diploma or equivalent.
Acceptable certification from AAPC and/or AHIMA, including ICD-10 certification.
Proficiency and strong knowledge of current coding and billing guidelines, including ICD-10, CPT, and HCPCS.
Knowledge of current and appropriate modifier use.
General knowledge of HIPAA guidelines specific to coding and billing.
General knowledge of current claims filing principles and guidelines.
At least 5 years of experience with direct coding responsibilities.
At least 3 years of experience with claims filing and billing knowledge.

Responsibilities

Participate in interviews and onboard new or additional coders to the Spire Coding Team.
Train newly hired certified coders and review the systems they need to use.
Work with providers and practice staff to ensure charts are coded correctly and on time.
Establish backup and cross-coverage plans for vacations and unexpected staff absences.
Help coding staff escalate concerns about incomplete charts that cannot be coded.
Monitor practice coding volume and coder workload to distribute work appropriately and ensure completed charts are coded promptly.
Prepare ad hoc reports as requested by Revenue Cycle leadership.
Assist the Director of Billing and Coding with annual coding staff performance evaluations.
Serve as a primary resource and support for coding staff.
Act as a liaison among providers, practice leadership, and the RCM team.
Assist internal staff working on coding charts for specific or previously identified practices and providers.
Assist with internal and external chart audits and reviews to ensure audit tasks are completed properly and on time.
Provide follow-up education and support to Revenue Cycle Managers, practice leadership, providers, and auxiliary staff as needed or directed by a manager.
Subscribe to relevant industry updates and listservs, including AAPC, AHIMA, Part B News, Medicare MACs, and commercial payers.
Perform other related duties as assigned.