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The Coding Lead is responsible for working within specific functions within the professional fee organization, providing expertise within the revenue cycle department and assisting in guiding the actions of staff. Responsible for providing guidance and direction for coding staff, resolving simple and complex questions and providing performance feedback to management. The Coding Lead is required to have demonstrated knowledge and understanding of some aspects of billing office operations, including basic principles of staff management/supervision. The Coding Lead is expected to maintain expert knowledge of professional fee coding including CPT, ICD, E&M, Modifiers and requirements for multiple specialties.
Job Responsibility:
Supports priorities assigned by Manager and/or Assistant Manager
Acts as a resource to staff
Interprets direction and provides guidance to staff where necessary
Keeps current on relevant areas of knowledge
Functions as department leader in the absence of a supervisor/manager
Understands Coding workflows for abstract coding, resolving coding charge review and claim edits, and resolving coding denials
Identifies and escalates coding issues and trends to management
Assists in recommending coding workflow solutions to resolve issues and improve operations
Facilitates staff training on new processes or identified quality issues
The Coding Lead will retain coding assignments in their respective areas and will maintain productivity and accuracy standards in their own work product
Provides performance feedback to supervisors and managers for staff
Keeps management informed of process changes and impacts to staff
Cultivates and maintains professional relationships with primary customers within area of responsibility and across the organization to foster opportunities for revenue enhancement, enhanced customer service and learning and development
Requirements:
Associates degree in Health Information Technology or Bachelors in Health Information Administration preferred with three years coding experience
or equivalent combination of education and experience
Successful completion of Coding Certification such as: American Health Information Management Association (AHIMA)
accreditation examination for Registered Health Information Administrator (RHIA)
(Registered Health Information Technician)
RHIT or Certified Coding Specialist (CCS)
CPC
Knowledge of ICD-9CM and ICD-10CM required
Excellent problem-solving skills
Excellent communication skills
Excellent customer service skills
Nice to have:
Certification in Professional Fee Coding (AAPC, AHIMA)
Strong working knowledge of the professional billing software applications