Team Lead Clinical - Coding IP

Position Overview

The Team Leader is responsible for overseeing the daily operations of the medical coding team ensuring accurate timely and compliant coding of medical records across inpatient outpatient and/or same-day surgery services. This leadership role combines expert-level coding knowledge with strong team management skills to support high-quality documentation optimal reimbursement and regulatory compliance.

The Team Leader provides guidance and mentorship to coders conducts quality audits resolves complex coding issues and collaborates with clinical documentation improvement (CDI) billing and compliance teams. They also play a key role in training new staff monitoring performance metrics and implementing process improvements to enhance coding accuracy and efficiency.

Responsibilities

Supervise and coordinate the daily activities of the medical coding team to ensure timely and accurate coding of medical records.

Review and audit coded data for accuracy completeness and compliance with official coding guidelines and payer requirements.

Provide expert guidance on complex coding issues including DRG change resolution ICD-10-CM ICD-10-PCS CPT coding and modifier usage.

Monitor team performance using productivity and quality metrics; implement corrective actions as needed.

Conduct regular training sessions and one-on-one coaching to support coder development and maintain up-to-date knowledge of coding standards.

Collaborate with clinical documentation improvement (CDI) billing and compliance teams to resolve discrepancies and optimize documentation quality.

Stay current with changes in coding regulations payer policies and healthcare compliance standards.

Develop and implement process improvements to enhance coding efficiency and accuracy.

Prepare and present reports on coding performance audit findings and team progress to management.

Reporting the weekly and monthly performance to key stakeholders taking initiative for the identified areas of improvement.

Team management of direct reports

Setting KPI goals reviewing the performance metrics coaching and feedback to enable the team to meet KPI goals consistently.

Contribute and inspire team-wide development through valuable content sharing rewards & recognition and implementing best-people management practices such as team bonding.

Required Qualifications

Education: Bachelors degree in nursing or a related field (medical allied courses). Advanced degrees or certifications may be preferred.

Certification: Must hold a valid active coding credential from AHIMA or AAPC (RHIA RHIT CPC COC CCS-P CCS and/or CIC)

Coding/Supervisory Experience: Minimum of 4 years work experience in IP or SDS coding with at least 2 years of team management experience

Communication: Excellent written and verbal communication skills to collaborate with onshore partners healthcare providers billing teams and administrative staff effectively.

Soft Skills: Able to work independently and willing to adapt and change as per business/process requirements; should be flexible to adapt to shift timings on a need basis; with strong attention to detail and organization skills; has the ability to maintain the highest levels of customer satisfaction and be service-oriented

Coding Knowledge: In-depth knowledge of ICD-10-CM ICD-10-PCS and other coding systems including coding guidelines conventions and modifier usage.

Medical Terminology: Strong understanding of medical terminology anatomy physiology and disease processes to accurately assign codes and interpret medical documentation.

Compliance: Thorough knowledge of coding regulations guidelines and industry standards including CMS guidelines and payer-specific policies.

Analytical Skills: Strong analytical and problem-solving skills to review and interpret complex medical documentation identify discrepancies and ensure accurate code assignment.

Attention to Detail: Keen attention to detail to identify and resolve coding-related issues and ensure accuracy and completeness in code assignment.

Computer Skills: Proficient in using coding software encoders and electronic health record (EHR) systems. Familiarity with healthcare billing and practice management software is a plus.

Continuous Learning: Commitment to continuous learning and staying updated on coding changes regulations