Lead Coding Specialist

TriHealth•Cincinnati, OH
•Remote

About The Position

TriHealth is hiring a Lead Coding Specialist to support coding staff and contribute to accurate inpatient and outpatient coding. The role assists Coding Managers and Supervisors with daily functions, serves as a coding subject matter expert, coordinates decisions with coding leadership, and provides coding expertise to staff and internal and external customers. The specialist assigns and abstracts codes and data according to official inpatient and outpatient guidelines and provides training and education to assigned coding staff. The position works from home, with a requirement to be in the TriState area for occasional office meetings. It is full-time, scheduled for 80 hours bi-weekly on the day shift, with no weekend, holiday, or on-call commitment. The role requires a strong understanding of clinical coding requirements and the ability to communicate them effectively to the team and other stakeholders. TriHealth describes its environment as collaborative and education-focused, with ongoing training, coding guideline updates, and leadership support. Team members are expected to follow TriHealth’s SERVE Standards and ALWAYS Behaviors, including commitments to service, quality, respect, partnership, professionalism, and responsible use of resources.

Requirements

  • Associate’s degree; equivalent experience is accepted in lieu of a degree.
  • One of the listed credentials: CPC, CCS-P, RHIA, RHIT, CCA, or CCM.
  • Expert knowledge, as applicable to the area of responsibility, of ICD-10-CM, PCS, and CPT coding methodologies.
  • Ability to navigate inpatient and outpatient clinical records and knowledge of medical terminology.
  • Knowledge of anatomy and physiology, DRGs, HACs, HAIs, HCCs, POAs, and PSIs.
  • Professionalism and communication skills, with experience leading a team in a healthcare setting.
  • 4–5 years of experience in a related field.
  • Excellent understanding of clinical coding requirements and ability to communicate them to the team and other stakeholders.

Responsibilities

  • Maintain knowledge of coding revisions, guidelines, and education updates, and communicate changes to staff efficiently.
  • Provide high standards of internal and external customer service; monitor and provide feedback to staff; respond promptly to issues, queries, and concerns; maintain confidentiality and respect privacy; and demonstrate cultural sensitivity.
  • Lead and promote a team environment that enhances partnership and cooperation through communication.
  • Communicate effectively with coding staff, internal and external customers, clinicians, and service line leadership.
  • Assist with team member orientation and training.
  • Serve as a team resource for identifying issues, resolving them, or escalating them as appropriate; encourage shared knowledge and skills; and coach team members when necessary.
  • Support the coding supervisor in helping staff resolve coding issues and provide coding support and training.
  • Assign and abstract codes and data in accordance with official inpatient and outpatient guidelines.

Benefits

  • Medical insurance
  • Dental insurance
  • Vision insurance
  • Paid time off
  • Retirement plans
  • Tuition reimbursement
  • Competitive shift differentials, with the opportunity to earn up to an additional $7 per hour based on shift, hours worked, and organizational guidelines
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