Lead Coder

About the role

OnPoint Medical Group is a physician-led network of skilled Primary and Urgent care providers committed to expanding access to quality healthcare. Our "Circle of Care" ensures the health and wellness of members and their families through a comprehensive menu of interlinked medical services. This full-time Lead Coder position may be remote for candidates residing in Colorado after the training period.

Responsibilities

• Translate patient medical records into appropriate CPT, HCPCS, and ICD-10 codes for claim submission to insurance carriers, adhering to local, state, and federal medical billing laws and guidelines.
• Work directly with healthcare providers and staff to ensure medical documentation supports billed CPT and diagnosis codes following payer-specific guidelines.
• Perform pre-visit planning in Navina as instructed.
• Run day-end reports for practice managers twice per week and copy executive directors and coding manager.
• Conduct post-visit review and claim submission.
• Ensure correct coding initiatives are met through collaboration with healthcare providers.
• Submit a minimum of 80–100 claims per day from preassigned clinics.
• Drop claims within 3 days of note completion.
• Work within the guidance of the Billing Compliance Plan and federal, state, and local billing guidelines.
• Attend scheduled coding meetings and maintain coding certification, including timely submission of continuing education to AAPC or AHIMA.
• Maintain strict privacy, confidentiality, and safety protocols, complying with HIPAA, OSHA, and PCI DSS regulations.
• Maintain claim submission policies and a clean, organized work environment.
• Deliver faxes to billing department staff when appropriate.

Lead Coder Additional Duties

• Assist others with coding questions regarding ICD-10 and CPT codes.
• Assist others with documentation requirements.
• Develop training materials for internal and external customers.
• Assist the coding manager with other coding duties as assigned.

Requirements

• High School Diploma or equivalent.
• Strong computer skills.
• 5 years of healthcare experience.
• 2+ years of coding experience.
• CPC or AHIMA certification.

Preferred Qualifications

• Some college with a focus on medical, business, or accounting.
• Bilingual.
• EMR experience, preferably with Athenahealth practice management system.

Working Conditions

While performing the duties of this job, the employee is regularly required to:

• Stand; use hands to finger, handle, or feel; reach with hands and arms; and talk or hear.
• Occasionally walk, sit, stoop, kneel, crouch, or crawl.
• Frequently lift and/or move up to 10 pounds and occasionally lift and/or move more than 25 pounds.
• Specific vision abilities include close vision, distance vision, and ability to adjust focus.

Benefits

• Health insurance plan options for you and your dependents.
• Dental and vision coverage for you and your qualified dependents.
• Company-paid life insurance.
• Voluntary short-term and long-term disability coverage.
• AFLAC plans.
• FSA options.
• Eligible for 401(k) after 6 months of employment with a 4% match that vests immediately.
• Paid Time-Off earned.

Pay

$31–$34 per hour. The estimate represents the typical salary range for candidates hired. Factors such as specific skills, years of experience, and comparison to other employees in this role may determine actual salary.