Lead Coder

Essential Duties and Responsibilities

• Performs coding quality reviews to validate correct coding and abstracting.
• Provides feedback to coding staff regarding audit results.
• Provides cross-training support to the Coders and Coding Quality Analysts in areas where coding compliance is not met.
• Provides quality reviews as requested from other departments such as Case Management, Quality, and Patient Financial Services.
• Affixes scrubbing claims for errors and correcting claim edits.
• Works with analyst to build edits to prevent denials.
• Maintains ongoing communication with management, CDI, and coding staff to ensure coding compliance goals are met.
• Assists CBO management in performing coder education tasks and new employee orientation.
• Affixes preparation of Compliance and Audit reports.
• Affixes assistance with new physician education and audit schedule.
• Affixes analysis of Compliance and Audit reports under CBO management.

Qualifications

• CPC or CCS-P certification required.