Team Lead, Coding

Surgical Information SystemsAlpharetta, GA
Hybrid

About The Position

The Team Lead, Coding assists with supervising the coding team, participates in daily coding, and helps with Client and internal Revenue Cycle requests. This role plays a key part in reviewing and analyzing medical billing and coding for processing and accurately coding ambulatory surgical procedures for reimbursement.

Requirements

  • Coding certification through AAPC or AHIMA (CPC, COC, RHIT, CCS, etc., no apprentice designation)
  • Successful completion of formal education in basic ICD-9-CM/ICD-10/CPT coding, medical terminology, anatomy/physiology and disease process.
  • 5 years outpatient surgical coding
  • 1 year of team lead experience or successful display of leadership qualities
  • Ability to work independently and as part of a team
  • A high degree of flexibility and professionalism
  • Excellent organizational skills
  • Outstanding communications skills; both verbal and written
  • Knowledge of computers and Windows-driven software
  • Excellent command of written and spoken English
  • Minimum of 2 years acute care coding experience of all patient types Inpatient, SDS and ER, with strong experience in Inpatient.

Responsibilities

  • Interface with Clients and internal Revenue Cycle teams daily to assist with requests, questions, information, etc.
  • Assist Coding Manager in client management, including emails, phone calls, and video meetings with client staff as well as physicians
  • Assist Coding Manager related to denial management and coding reviews with clients to help drive client education and satisfaction
  • Help support Coding leadership in addressing and managing client escalations and concerns
  • Reviewing production coders work for quality
  • Provide clear, concise, and compliant written feedback to coders
  • Identify coder and/or documentation deficiencies and communicate them to the management team as needed
  • Participate in production coding daily as defined by management, based on department needs
  • Supports the importance of accurate, complete and consistent coding practices for the production of quality healthcare data.
  • Adheres to the ICD-9/ICD-10 coding conventions, official coding guidelines approved by CPT, AMA, AAOS, and CCI.
  • Uses skills and knowledge of the currently mandated coding and classification systems, and official resources to select the appropriate diagnostic and procedural codes.
  • Assigns and reports the codes that are clearly supported by documentation in the health record.
  • Consults physicians for clarification and additional documentation prior to code assignment when there is conflicting or ambiguous data in the health record.
  • Strives for the optimal payment to which the facility is legally entitled.
  • Assists and educates physicians and other clinicians by advocating proper documentation practices.
  • Maintains and continually enhances coding skills. Coders need to be aware of changes in codes, guidelines, and regulations. They are required to maintain 90% or above coding accuracy average.
  • Provides coding coverage based on client needs and capacity daily

Benefits

  • Medical, Vision, Dental, Short Term Disability, Long Term Disability, and Life Insurance
  • Vacation/Sick time
  • 401(k) retirement plan with company match
  • Paid Holidays
  • SIS Cares Day
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