- Under direct supervision the Outpatient Coding Team Lead provides day to day supervision and instruction for the coders. The Inpatient Coding Team Lead oversees specific hospital outpatient accounts based on acuity for the purpose of appropriate reimbursement research statistics and compliance to federal and state regulations in accordance with established ICD-10-CM and CPT-4coding classification systems.
- The Outpatient Coding Team Lead assists in resolving interdepartmental coding inquiries and communicates with various departments within the hospitals regarding billing and registration issues.
- The Outpatient Coding Team Lead must have working knowledge of NCCI edits and medical necessity.
- Serves as a clinical coding subject matter expert and utilizes critical thinking to analyze and evaluate documentation issues with consultation from Clinical staff Clinical Documentation Specialists and Coding Quality as needed.
- Provides coding support as needed for ICD-10 diagnostic codes and CPT-4 procedure codes to outpatient ambulatory surgery and observation visits for the purpose of reimbursement research and compliance with federal and state regulations. Provides day to day instruction for the coders which includes WQ monitoring problem solving monitoring productivity scheduling training and enterprise testing.
- Provides backup coding support for outpatient coding as needed.
- Monitors coders assigned work on a daily basis in order to facilitate the billing process within the established timeframes.
- Communicates staffing shortages for associated workload.
- Monitors bill holds to maintain financial stability of organization.
Qualifications :
- Associates degrees or total of 6 years experience.
- 4 years experience with coding outpatient hospital medical records.
- One of the following: Certified Coding Specialist (CCS) Certified Professional Coder (CPC).
- Bachelors degree in related field
- Registered Health Information Technician (RHIT) Registered Health Information Administrator (RHIA).
Additional Information :
All your information will be kept confidential according to EEO guidelines.
Compensation:
Pay Range: $33.36-$46.7
Other Compensation (if applicable):
Review the 2024-2025 UMMS Benefits Guide
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Remote Work :
Yes
Employment Type :
Full-time