Coding and Medical Records Team Lead - Remote

Definition and Role

The Coding & Medical Records Team Lead works directly with the Coding and Billing Specialists to ensure the coding and abstracting of medical records information are conducted in an accurate, comprehensive, and efficient manner. Experienced in all aspects of both diagnostic and procedural medical coding and billing. This role reports to the Director of Revenue Cycle, up to the Director of Revenue Management & Administration.

Qualifications and Skills

Any combination of training, education and/or experience which provide the knowledge, skills and abilities and required conditions of employment listed below is qualifying. An example of a way these requirements might be required is

1. A minimum of an Associate degree in a related field is preferred. Sufficient work experience in health information management with an emphasis in medical coding may substitute and/or augment a degree.
2. If certified as a CPC/CCS: requires two years of coding experience in the outpatient setting.
3. If registered as an RHIT/RHIA: requires one year of coding experience in the outpatient setting.
4. If certification is not present, applicant must plan to acquire credential within six months of hire and have at least two years of coding experience in the outpatient setting.
5. Advanced principles and practices of medical terminology, anatomy, and physiology, as well as the states, sequence, progression, and description of diseases as they apply to medical record coding and abstraction.
6. Advanced elements of ICD-10, CPT, and HCPCS Level II Coding Systems.
7. Great communication skills and be able to communicate in English.
8. Great work ethic; will go above and beyond to exceed internal customer expectations.
9. Outstanding interpersonal skills and great team player.
10. Dedication to customer service is a must
11. Must be able to work independently with a high degree of self-initiative.
12. Excellent problem-solving abilities.
13. Knowledge of standard MS Office products.
14. Ability to work well under pressure and adapt to changes in project priorities.
15. Must be able to accommodate a flexible work schedule.
    
    

Job Responsibilities and Duties

• Responsible for the oversight of staff; positive coaching.
• Assists with interviewing and hiring of coding team staff.
• Assists with quality and staff productivity monitoring.
• Maintains current and thorough knowledge and understanding of current coding schemes, regulatory rules, guidelines, and updates as well as a thorough knowledge of current database operations, processes, problems, and changes.

• Monitoring and notifying clients of new, revised, or deleted codes that are released by CMS, the AMA and NCHS
• Serving as an internal and external resource regarding coding and reimbursement information such as payment methodologies, claims processing requirements, and payer coverage guidelines
• Assessment and organization and monitoring of daily routine workloads including handling staff schedule changes ensuring no negative impact to workflow including but not limited to:
• Acts as knowledge resource for coding staff as well as other departments/offices within MedCentris as needed. 
• Audit outpatient medical records to verify the appropriateness.
• Helps to develop and maintain associated policies and procedures, and reports for tracking/trending staff performance and other reports as required. 
• Interacts with internal providers and external facilities to procure documentation for coding claims as necessary.
• Participates in problem resolution; troubleshoots and/or contacts Information Technology support to report problems with hardware or software to expedite problem resolution. 
• Promotes teamwork in the area and customer relationships through prompt and courteous service.
• Work with physicians and others to ensure complete and accurate information and optimal reimbursement based on coding and abstracting of medical records.
• Maintains professional and technical knowledge by attending educational workshops; reviewing professional publications; establishing personal networks; benchmarking state-of-the-art practices; participating in professional societies.
• Contributes to team effort by accomplishing individual productivity related results.
• Steps in to cover team members and/or work special projects.
• Prepares and enhances training materials and conducts training sessions for coding and charge entry specialists as well as providers.

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