Medical Coding Team Lead
3 weeks ago
Job Title: Medical Coding Team Lead
Job Summary: As a Medical Coding Team Lead at 2coms, you will oversee a team of medical coders, ensuring accurate and timely coding of medical diagnoses, procedures, and services for healthcare facilities. Your role will involve managing day-to-day operations, ensuring compliance with industry standards (e.g., ICD-10, CPT, and HCPCS coding), and acting as the primary point of contact between the coding team and other departments.
Key Responsibilities:
- Team Management:
- Supervise a team of medical coders, ensuring workload distribution and deadlines are met.
- Conduct regular performance evaluations and provide feedback to team members.
- Serve as the primary point of escalation for coding-related issues or complex cases.
- Foster a collaborative and productive team environment by providing guidance, support, and training opportunities.
- Quality Assurance:
- Ensure coding accuracy and compliance with industry standards such as ICD-10, CPT, and HCPCS codes.
- Perform random audits of coded claims to ensure accuracy and adherence to organizational and regulatory guidelines.
- Implement corrective actions and training plans when discrepancies are identified during audits.
- Training and Development:
- Organize and conduct regular training sessions on updates to coding standards, regulations, and software tools.
- Mentor junior coders and help develop their skills to improve performance.
- Keep the team updated on regulatory changes and best practices in medical coding.
- Operational Oversight:
- Manage day-to-day operations of the coding team, ensuring tasks are completed on time and meet quality standards.
- Track and report team performance metrics, including coding accuracy, productivity, and turnaround times.
- Collaborate with other departments such as billing, compliance, and healthcare providers to resolve coding and reimbursement issues.
- Compliance and Documentation:
- Ensure that coding practices are in compliance with HIPAA regulations, organizational policies, and state/federal guidelines.
- Maintain accurate documentation of all coding processes and updates for auditing purposes.
- Assist in preparing the department for internal and external audits.
- Process Improvement:
- Identify areas of inefficiency in the coding process and recommend improvements.
- Implement new processes, tools, or systems to enhance the efficiency and accuracy of medical coding operations.
- Client/Stakeholder Relations:
- Act as a liaison between the coding team and other internal and external stakeholders, including physicians, administrative staff, and external auditors.
- Address and resolve any queries related to coding from insurance companies, providers, or billing departments.
Qualifications:
- Education:
- Bachelor's degree in Health Information Management, Medical Coding, or a related field preferred.
- Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or similar certification required.
- Experience:
- 6+ years of experience in medical coding, with at least 2 years in a supervisory or leadership role.
- Extensive knowledge of ICD-10, CPT, and HCPCS coding systems with E&M coding.
- Experience with healthcare billing processes and Electronic Health Record (EHR) systems.
- Skills:
- Strong leadership, communication, and interpersonal skills.
- High level of accuracy and attention to detail in coding and documentation.
- Ability to work under pressure and manage multiple tasks simultaneously.
- Proficiency in coding software and MS Office tools (Excel, Word, etc.).
Key Competencies:
- Leadership: Proven ability to lead and motivate a team in a fast-paced healthcare environment.
- Analytical Thinking: Strong problem-solving skills and the ability to analyze data to identify trends and discrepancies.
- Communication: Excellent written and verbal communication skills for interacting with team members, healthcare providers, and other departments.
- Adaptability: Ability to stay up to date with changing regulations, coding standards, and healthcare policies.
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