Lead Medical Coder - FT - Days - HPG Administration (75483)

Hamilton Health Care System•Dalton, GA

About The Position

Works under direct supervision of the Coding and Documentation Manager and follows written policies and procedures to perform the job duties. The coding lead will remain an active coder for the department when needed. The associate will complete required daily activity reporting as needed. The individual will maintain positive business relationships internally and externally to ensure effective and efficient coordination of services to promote individual and departmental goals. The associate ensures the accuracy and timeliness of all encounters coded, and provides support to team members on a regular basis. The individual resolves and advises medical coders on answers to routine questions and problems and refers more complex issues to higher levels. The associate assists the Coding and Documentation Manager in routine management tasks such as productivity reporting and budget management. The individual assists in the interview process and hiring decisions and may be called upon to provide input to management on annual performance appraisals. The associate performs additional duties as assigned in a courteous and professional manner. The associate assists with research of payer policies, updates on coding and documentation guidelines, and updates regarding legal, regulatory, and policy compliance matters. The individual may assist with internal audits of coding staff and external audit/education of providers and other qualified healthcare professionals. The coding lead must be able to lead, train, and supervise staff.

Requirements

Two years of college level courses, preferably in secretarial science or office administration, associates degree preferred
Base Coding Certification required (CPC, CPC-H, CCA, CCS, CCS-P)
3 or more years’ experience in professional billing and coding experience required.
Knowledge of medical record content, medical terminology, anatomy & physiology, ICDCM/PCS & CPT coding systems.
Ability to examine the chart and verify documentation needed for accurate code assignment and be able to clearly communicate medical coding information to providers, other qualified healthcare professionals, and clinical staff when appropriate.
Knowledge of coding concepts and principles, understanding of medical coding and billing systems, and knowledge of legal, regulatory, and policy compliance matters related to medical coding, documentation and billing.
Ability to apply good judgment and has excellent decision-making skills.
Ability to work in team environment but also work autonomously due to the nature of the position.
Detail oriented and consistently produce quality work.
Good verbal, written and computer communication skills and be able to perform functions in Microsoft Office.
Practice excellent self-discipline and time management skills due to its remote nature.
Remain calm under stress and must be able to appropriately respond to a disgruntled person during such occasions when necessary (i.e., internal and external customers and stakeholders).
Proficient in typing, transcription, and use of word processing software.
Possess initiative and must have excellent organizational ability,communication,, and interpersonal skills.

Responsibilities

Remains an active coder for the department when needed.
Completes required daily activity reporting as needed.
Maintains positive business relationships internally and externally.
Ensures the accuracy and timeliness of all encounters coded.
Provides support to team members on a regular basis.
Resolves and advises medical coders on answers to routine questions and problems and refers more complex issues to higher levels.
Assists the Coding and Documentation Manager in routine management tasks such as productivity reporting and budget management.
Assists in the interview process and hiring decisions and may be called upon to provide input to management on annual performance appraisals.
Assists with research of payer policies, updates on coding and documentation guidelines, and updates regarding legal, regulatory, and policy compliance matters.
May assist with internal audits of coding staff and external audit/education of providers and other qualified healthcare professionals.
Leads, trains, and supervises staff.
Routinely resolves coding edits and coding related denials by working from work queues for the respective specialty/responsibility assigned.
Responsible for making coding related charge corrections/resubmission of claims where applicable.