Lead Coding Coordinator

Role Overview

This position is responsible for training of new and established employees in all of our specialty coding processes relating to office, hospital rounding, and major/minor surgical cases for My Michigan Medical Group providers. Additionally, this position will perform quality audits on established employees providing them consistent and on‑going feedback. The position is responsible for creating and updating training manuals/materials. The position acts as a resource for coding questions within the Coding Resource Department.

The position monitors compliance with third party payer guidelines while ensuring the maximum allowed reimbursement is attained. This position requires broad knowledge of current payer rules for all insurance companies we participate with, in addition to analytical skills to ensure all procedures are coded correctly to ensure timely/accurate reimbursement from all payers. This position must be able to work independently and make decisions based on its broad knowledge of Current Procedural Technology (CPT) and ICD-10 coding rules and regulations.

This position will also provide coding coverage while the new employee is in training.

• (25%)
  * Coordinates education and training for new and established employees of the Coding Resources Team staff to ensure they are trained in a consistent and appropriate manner according to coding guidelines.
• (25%)
  * Trains new and established employees in office packet procedures and all major and minor surgical cases, including obstetrics, performed in both the office and hospital setting within 48 hours of receipt. Communication with Coding Resources Manager regarding employee progress during the training period.
• (25%)
  * Establishes and monitors new employee productivity and quality standards.
• (25%)
  * Responsible for accurate and timely processing of assigned office coding including E/M, procedural and surgical coding. Research coding guidelines using various resources for education purposes.

• Stays current with knowledge of coding changes and rules as appropriate. Develops materials for departmental education based on findings.
• Acts as a resource for all coding questions in the Coding Resources Department and provide feedback as needed.
• My Michigan Health is a technology driven organization and employees need to demonstrate competency in Microsoft® Windows. Employees may be required to participate in further learning opportunities offered by My Michigan Health.

• CPC (Certified Professional Coder)
• CCS (Certified Coding Specialist – Physician Office)
• CCSP (Certified Coding Specialist – Physician Office)
• RHIT (Registered Health Information Technician)
• RHIA (Registered Health Information Administrator)

High school diploma or GED is required.

Degree in Healthcare Related Field. Four years experience in relevant working field with two years experience with physician coding and billing, one year with direct physician contact is required.

Associate degree preferred.

Four (4) years experience in relevant working field with two (2) years experience with physician coding and billing. One (1) year with direct physician contact. Three (3) years physician coding and billing experience preferred.

• Strong leadership skills with ability to build and maintain team dynamics and problem‑solving skills.
• Strong computer applications knowledge.
• Knowledge of medical record/patient confidentiality laws.
• Strong interpersonal, written and communication skills required.
• Knowledge of medical terminology and anatomy preferred.
• Mandatory OSHA training completed annually per the Exposure Control Plan.
• Prefer five (5) years experience in a healthcare setting with extensive knowledge of CPT, ICD‑9, HCPS and documentation guidelines.

• Exposure to stressful situations, including those involving public contact, trauma, grief and death.
• Able to wear personal protective equipment that includes latex materials or appropriate substitute.
• Can move freely about facility with or without an assisted device and can perform the functions of the job.
• Overall vision and hearing are necessary.
• Frequently required to sit/stand/walk for long periods; may require postural changes such as stooping, kneeling or crouching.
• Some exposure to blood borne pathogens and TB testing required.
• Must handle multiple tasks, work independently, maintain regular attendance and stay alert.
• Dexterity required for handling, reaching, grasping, fingering, and feeling; repetitive movements possible.
• Physical demand level:
  Sedentary. Occasionally (0–33% of the workday) lift or carry 0–10 lbs.

Not Applicable

Full‑time

Administrative

Hospitals and Health Care