Front-End Team Lead Revenue Cycle

Coding, Charge Entry, and Edit Management

Oversee and support daily workflows for charge entry, coding coordination, and edit resolution. Work collaboratively with coders and clinical teams to ensure charges are accurate, complete, and compliant prior to claim submission. Review edit and rejection reports regularly, ensuring timely and accurate resolution of front-end claim errors. Identify recurring issues related to coding, provider documentation, or charge entry and escalate trends to the RCM Manager. Serve as a liaison between coding staff and providers to support documentation improvement and code accuracy.

Cross-Functional Collaboration

Work closely with the Patient A/R Supervisor to ensure front-end data integrity supports clean patient balances and minimizes billing issues. Partner with the Back-End Supervisor to align workflows related to edits, denials, and payer rejections that originate from front-end errors. Collaborate with the RCM Manager to implement changes in workflows based on payer policy updates, denial trends, and compliance findings. Participate in cross-departmental workgroups to streamline end-to-end revenue cycle processes and improve first-pass claim acceptance.

Payor Trends and Clean Claim Submission

Monitor payer-specific edit trends and address root causes of front-end claim rejections or delays. Stay current on payer policy changes, prior authorization requirements, and coding guidelines affecting front-end workflows. Recommend and help implement system updates, staff training, or workflow changes in response to payer developments. Track and report on front-end-related denial rates, charge lag times, and edit resolution performance.

Staff Supervision and Workflow Support

Supervise front-end revenue cycle staff workflows, including charge entry, encounter review, and edit resolution. Provide daily support and task coordination to ensure charge entry deadlines and clean claim goals are met. Assist in onboarding, training, and mentoring staff in front-end processes and payer-specific rules. Monitor staff performance metrics and provide constructive feedback to support process consistency and accuracy. Cover open shifts or high-volume periods to ensure service level goals are met. Provide workflow oversight, assign daily priorities, and support staff in resolving complex issues.

Compliance and Quality Control

Ensure front-end workflows support compliance with payer policies, coding regulations, and internal documentation standards. Audit charge entry, coding interfaces, and edit resolution activities to identify and correct quality issues. Ensure timely documentation of resolution steps taken on rejected or held charges.