Lead Coder IPG - Full Time

In this role you will be:

• The lead coding liaison, collecting coding concerns, questions, and issues to report to the supervisor and manager.
• Reviews of sample records quarterly per coder. Evaluates for accuracy, based on E/M level, procedures, ICD-10 diagnoses and modifiers.
• Monitors and analyzes performance and productivity to assure standards and goals are met.
• Conduct yearly audits of providers, selected by management team and review results with providers.
• Works closely with the DNFB report prioritizing cases for completion, communicates issues to supervisor/manager and clerical team for needed physician dictation or documentation
• Acts as a resource throughout the organization on coding and as a liaison between the coding department and internal/external stakeholders
• Works closely with the supervisor/manager in evaluating denials and rejections received from Patient Accounts and Revenue Management. Provide on-going education to individual coders when evaluating the denials and/or pre-billing edit rejections.
• Managing coding huddles and training newly hired coding employees. Coordinate coding activities, schedule and assigns work as needed. Schedules and assign cases to contact coding staff when necessary.
• Codes and abstracts all physician services as needed by volume.
• Keeps abreast of coding guidelines and reimbursement reporting requirements. Brings identified concerns to supervisor/manager for resolution
• Works with management to create coding policies and procedures.
• Evaluates the skills of each coder for annual review to be performed by manager
• Utilizes technical coding principles, APC, MS-DRG, APR-DRG, HCC reimbursement expertise to assign appropriate ICD-10-CM diagnosis and procedures and CPT-4, HCPCS codes
• Maintains and enhances professional skills and current knowledge of coding systems and organizes reference materials on a continual basis.
• Abides by the standards of Ethical coding as set forth by the American Health Information Management Association and adheres to official coding guidelines.
• Performing other coding duties as assigned by the supervisor and manager.

Qualifications:

Required:

• EDUCATION: Associates degree from an accredited institution or have obtained education through an accredited agency (i.e. AHIMA/AAPC)

• EXPERIENCE:

• • Minimum of two (2) years of progressive on the job experience in professional coding.

• LICENSURE/CERTIFICATION:

• • RHIT/CCS/CPC or equivalent certification by an accredited institution i.e. AHIMA/AAPC)