Coder Professional Lead

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Coder Professional Lead

Job Description

The Coder Professional Lead oversees all professional coding related activities. Primary responsibilities include maintenance of professional coding quality program, education of staff, training of new staff and contract staff. Assigns ICD-CM/PCS, CPT, HCPCS codes, E&M assignment, modifiers, and charge posting. Coordinates and implements projects and personnel-related activities. Works under the guidance of the Supervisor. Interacts with medical staff, provider offices, nursing, ancillary departments, and outside organizations.

Department: Physician Coding

Hours: Full-Time, 40 hours a week required

Required: High School Diploma, 3 years of coding experience, CPC, CPMA OR CEMA

Pay: based on experience, starting at 25.08

Responsibilities

Assists with charge master coding assignment as requested to ensure appropriate charge capture processes., Collaborates with Supervisor on setting departmental objectives, planning equipment needs, designing systems and procedures to meet changing requirements, and evaluation of departmental services. Maintains, develops, and ensures adherence to policy and procedures under the guidance of Supervisor/Director. Oversees assigned departmental operations in Supervisor’s absence., Conducts educational meeting with staff. Develops procedures and Standard Work Instructions (SWI) for educating, training, and follow-up., Coordinates the collection and reporting of productivity stats and quality reviews., Demonstrates ability to code all types of encounters., Maintains coding quality program. Responsible for staff production report. Ensures that staff is kept current regarding coding requirements. Ensures data quality and optimum reimbursement allowable under the federal and state payment systems. Conducts audits and report outcomes., Monitors staff performance quality through audits and initiates or makes recommendations for improvement., Monitors the daily work status of area of responsibility, responds to operational/staff concerns and implements appropriate measures of follow-up. Supports staff and provides backup of job functions when necessary., Responsible for E/M Audit Program. Coordinates the collection and reporting of provider and coder audit results and education. Works with coders, coding auditors, and providers to ensure appropriate documentation for clinic services. Reporting of providers and coders quality outcomes will be sent to applicable management staff., Responsible for maintaining DNFB encounters and dollars at established standard. Works closely with internal and external staff to minimize DNFB encounters.

Requirements

Associate's Degree, High School (Required)Certified Professional Coder - Sarah Bush Lincoln, CPMA-Certified Professional Medical Auditor or CEMA - Certified Evaluation & Management Auditor - Sarah Bush Lincoln

Compensation

Estimated Compensation Range

$25.08 - $38.87

Pay based on experience