Medical Records Coding Lead

Under minimal supervision, performs skilled and specialized technical work in documentation and coding for medical billing.

• Strong knowledge of CPT and ICD-10 coding principles, governmental regulations, protocols and Electronic Medical Records (EMR) system.
• Ability to apply judgment and making informed decisions.
• Proven ability to manage a multitude of responsibilities while meeting objectives and working with teams.
• Strong communication skills.
• Strong leadership skills.
• Strong organization and time management skills.
• Detail-oriented.

EDUCATION:

• High school diploma or GED is required.

LICENSES & CERTIFICATIONS:

• Accreditation from at least one professional coding organization, such as American Health Information Management Association (AHIMA), American Academy of Professional Coders (AAPC), Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), or Certified Coding Specialist (CCS) certification is required.

1. Conducts the quality review of inpatient and outpatient coding, assures coding compliance with federal regulations, and maintains up-to-date coding guidelines and coding policy changes.
2. Reviews, interprets, and assigns diagnostic and procedural codes based upon medical record documentation according to correct coding principles.
3. Provides skilled and specialized technical work in documentation and coding for medical billing, abstracts complex patient-related data from medical records and coding of diagnoses and procedures using ICD-10 and CPT codes.
4. Works coding related charge review and claim edits daily to ensure timely and accurate billing.
5. Researches and resolves coding related issues, and assists in meeting productivity and quality standards.