Medical Coding Team Lead
4 weeks ago
Job Summary:
The Medical Coding Team Lead will oversee a team of medical coders ensuring accurate and timely coding of medical diagnoses procedures and services for healthcare facilities. The role involves managing day-to-day operations ensuring compliance with industry standards (e.g. ICD10 CPT and HCPCS coding) and acting as the primary point of contact between the coding team and other departments. The Team Lead will also mentor and train coding staff monitor performance metrics and ensure the department meets organizational goals and regulatory requirements.
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 ICD10 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:
- Bachelors 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 ICD10 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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