Team Lead, Coding

Surgical Information Systems Careers•Alpharetta, GA

19h•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. The position supports the importance of accurate, complete, and consistent coding practices for the production of quality healthcare data, adhering to ICD-9/ICD-10 coding conventions, official coding guidelines approved by CPT, AMA, AAOS, and CCI. The role utilizes skills and knowledge of the currently mandated coding and classification systems, and official resources to select appropriate diagnostic and procedural codes, assigning and reporting codes clearly supported by documentation. The Team Lead consults physicians for clarification and additional documentation when there is conflicting or ambiguous data in the health record, striving for optimal payment to which the facility is legally entitled. They also assist and educate physicians and other clinicians by advocating proper documentation practices and maintain and continually enhance coding skills, staying aware of changes in codes, guidelines, and regulations. Coders are required to maintain 90% or above coding accuracy average and provide coding coverage based on client needs and capacity daily. Nothing in this job description restricts management’s right to assign or reassign duties and responsibilities to this job at any time.

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.
Provides coding coverage based on client needs and capacity daily.