Lead, Healthcare, Medical Billing and Coding

The  Lead Medical Coder  is responsible for overseeing coding operations, ensuring accuracy and compliance with industry standards, and serving as the primary resource for coding-related inquiries. This role involves mentoring and training coding staff, resolving complex coding issues, and collaborating with cross-functional teams to optimize coding workflows and reimbursement processes.

Designation:  Lead Coding (Multispecialty E&M-IP, OP, ED,Anesthesia and Radiology)

Roles and Responsibilities:

Act as the primary contact for coding-related questions from team members and clients.
Provide training, coaching, and guidance to coding staff on best practices and regulatory updates.
Assist in work allocation and monitor team performance to maintain efficiency.
Analyze coding workflows and recommend process improvements.
Generate and review reports to track coding productivity, accuracy, and compliance.
Participate in cross-functional meetings to enhance coding efficiency and reimbursement processes.
Be the primary contact for coding questions relating to existing client operations as well as onboarding clients.
Maintain efficient work allocations for the team
Set team direction, resolve problems and provide guidance to entire team
Clarify performance KPIs, audit for compliance and accuracy, train and retrain as necessary
Work cross functionally to solve outstanding coding claim issues
Identify potential coding and DRG errors, research appropriate guidelines to support recommended changes, and communicate the changes to the coder involved on a timely basis
Resolve coding and clinical documentation errors/ issues/problems by consulting with HRC senior management
Responsible for timely, thorough data collection and coding compliance with regulatory agencies to include federal, state, and local entities
Follow, and maintain up-to-date knowledge of, industry coding and documentation guidelines (e.g., Official ICD-10 Coding and Billing Guidelines, Coding Clinic advice, company policies, and AHIMA/ACDIS Query Guidelines) so as to maintain system-wide coding consistency and remain in compliance with governmental and other regulatory guidelines.
Should train team on updated guidelines on regular interval including annual updates.
Review reports to identify specific issues, investigate and correct as per the coding guidelines, and implement solutions.
Coordinate and/or directs process improvement opportunities

Eligibility Criteria:

CPC, CCS, CIC, RHIT, or RHIA certification.
Minimum of 8+ years of medical coding experience, including leadership or supervisory responsibilities.
Strong expertise in  E&M (IP/OP), Emergency Department, Radiology, and Anesthesia coding .
Experience in coding audits, training, quality assurance, and regulatory compliance.

Shift: Straddle
Loc :
Remote

Interested candidates kindly send us your updated resume to