Team Lead, Coding Operations- IM

US Acute Care Solutions

2d•$59,364 - $109,823•Remote

About The Position

The Team Lead, Coding Operations is responsible for daily operations and prioritization of duties for applicable service line coders (ED, OB, UC, SNF or Vendor). Implements proactive actions to reduce or eliminate any potential coding productivity risks/exposures. The lead is expected to maintain a working knowledge of coding process, policy, SOPs, and serves as subject matter expert on assigned EMR’s performance and impact to production coding. The lead is responsible for advising leadership on impacts of regulatory (TJC, Medical Staff Bylaws, Rules & Regs, etc.) and operational changes. Is expected to provide regular coding updates/summaries of productivity metrics and will maintain ongoing communication with coding leadership regarding coding workload and productivity. In addition, the Coding Operations Team Lead is responsible for ensuring coding processes are conducted efficiently and in a high-quality manner to meet overall coding expectations and metrics

Requirements

Knowledge of and skill in using personal computers in a Windows environment
Advanced skills in Microsoft Windows with emphasis on Excel.
Ability to assign ICD (diagnosis) and CPT (procedure codes) as needed and maintain 95% or greater accuracy rate
Ability to pay close attention to detail and to coordinate various activities simultaneously
Ability to identify, research and solve problems and discrepancies
Ability to communicate with employees, management, and peers in a courteous and professional manner
Must have good working knowledge of correct English and grammar usage in verbal and written communications
Ability to maintain confidentiality
Ability to process assigned duties in an organized manner
Ability to effectively perform in a multi-task work environment and adapt to change in a positive manner
Ability to work overtime when needed
Meets all yearly education requirements
Ability to exhibit leadership by demonstrating a commitment to teamwork, supporting alignment with company and department goals and objectives, assisting others develop their knowledge of the company and department, adapting to change in a positive manner that exemplifies commitment, working proactively with minimal supervision
Ability to identify emerging issues and communicate them to management
Ability to provide conflict resolution and coaching opportunities
High school diploma required, Associate or Bachelor Degree in healthcare preferred
Coding/medical records experience and leadership/supervision experience required
RHIT, RHIA, CCS-P, CPC or other job-related certification required.

Responsibilities

Routinely responsible for daily operations and prioritization of duties, including managing work queues, backlog lists, queue clean up (Month-end), and team updates
Responsible for verifying, approving and submitting employee time records and expense/reimbursement approvals
Assists department personnel by providing training, answering operational questions and making recommendations to resolve operational issues
Assists in monitoring the Pre-bill and post-bill Statuses (Coding active, coding hold, etc.)
Responsible for coding accounts from applicable service line(s) on an as needed basis
Oversee service line edits/chart corrections and provide related education when applicable
Responsible for monitoring coders’ productivity progress and reports any impediments
Conducts time-study as deemed necessary for adjustments of productivity standards
Ensures that coders are adhering to company and department policies and SOPs
Routinely tracks, trends and corrects any identified outsourced coders’ quality/operational errors
Supervises and manages denials in conjunction with denials management (when applicable) and appeals when needed
Assists with candidate selection/hiring process
Assists Coding Operations Manager with action plans associated with denials management and appeals
Responsible for monitoring Milestone Coders progress to goal and proactively remediate any anticipated negative variance to target
Abides by the Standards of Ethical Coding as set forth by the American Health Information Management Association and American Academy of Professional Coders and adheres to official coding guidelines
Assists with other department duties and projects as needed
Assist Coding Manager in validation of outsource coder invoice volumes (if applicable)
Works with Coding Quality Lead(s) in all human resources matters relating to the department including but not limited to: hiring, performance evaluations, corrective action counseling and employee separations.
Ensure all direct reports understand performance requirements and production requirements
Conducts performance evaluation with staff quarterly, at a minimum
Routinely responsible for coding operational onboarding processes
Provides and documents orientation and training to new staff members and contract coders
Sets up new employee workstation with applicable application access
Assists in ensuring coding staff adherence with coding guidelines, policies and SOPs
Assists Coding Manager in the review and improvement of policies, workflow optimization, and standards of work
Openly communicates issues and opportunities to coding staff
Assists Coding Operations Manager in routine employee rounding
Responsible for conducting monthly team meetings and huddles as needed
Recommends and assists with changes to the surveillance list (Targeted focused audit items)
Responsible for creating and the regular updating coding operational SW (Standard Work) and SOPs.
Development Successfully aid in the completion of disciplinary action with helping to provide proper documentation, with assistance from Coding Operations Manager
Attends leadership classes, workshops and webinars to aid in personal growth
Attends regular touch bases with up line to discuss any service line updates or succession planning