Lead Medical Coding Specialist

The Lead Medical Coding Specialist works in conjunction with the Coding Supervisor to ensure accuracy, consistency and efficiency in relation to code assignment for reimbursement and reporting purposes. The Lead Medical Coding Specialist will complete quality reviews for coding staff in order to validate code and reimbursement assignments. This position is a “working” Lead position and is expected to work alongside staff as well as provide direction.

Basic Qualifications

• A minimum of a High School Diploma or GED, required
• CPC, CPC-H, CPC-P, CEDC or, CCS, preferred
• 4+ years experience coding ICD-10-CM, HCPCS and CPT codes, required
• 3+ years supervisory experience, required
• Experience coding emergency or hospital facility and ancillary services, preferred
• Experience coding inpatient and observation services, preferred
• Experience in applying IV infusion and injection codes, preferred
• Expertise in pathophysiology, anatomy, medical terminology, coding systems, techniques and procedures, preferred
• Proficiency using Microsoft Office Tools (Microsoft Word, Excel and Outlook)
• Proficiency using patient accounting systems and electronic health records, required
• Knowledge of all health Insurance Portability and Accountability Act (HIPAA) guidelines and regulations, required
• Position requires fluency in English; written and oral communication

Essential Job Functions

Expected to participate as a team member for record completion on an as needed basis (i.e., provide coverage for weekends, holidays, vacation and if coder productivity falls behind an established expectation. Duties will include :

Other Job Functions