Medical Coding - Team Lead

Key Responsibilities

• Team Supervision: Assign workloads, monitor productivity, conduct performance reviews, and provide coaching/support.
• Quality Assurance: Perform audits, review coding for accuracy (ICD-10, CPT, HCPCS, modifiers), and ensure compliance with guidelines.
• Training & Mentorship: Onboard new hires, develop training materials, and provide ongoing education to the team.
• Issue Resolution: Serve as the escalation point for complex coding questions and discrepancies.
• Collaboration: Work with providers, billing, compliance, and other departments to resolve documentation issues and improve accuracy.
• Process Improvement: Identify trends in denials or errors, implement process improvements, and stay current with coding changes.
• Reporting: Track and report on team KPIs, quality metrics, and productivity.

Essential Qualifications

• Experience: Several years of medical coding experience (e.g., 3-5+ years), often with supervisory or lead experience.
• Certifications: CPC, CCS, RHIT, or equivalent certifications (AAPC/AHIMA).
• Knowledge: Deep understanding of medical terminology, anatomy, physiology, ICD-10, CPT, HCPCS, and regulatory guidelines (CMS, HIPAA).
• Skills: Strong analytical, problem-solving, communication (written/verbal), organizational, and leadership skills.