Coding Team Lead

Who we are:


Spire Orthopedic Partners is a growing national partnership of orthopedic practices that provides the support, capital and operational resources physicians need to grow thriving practices for the future. As a Management Services Organization (MSO), Spire provides the infrastructure for administrative operations that allows practices to operate at their highest level, so doctors can focus their efforts on what matters most - patient care. Headquartered in Stamford, Connecticut, the Spire network spans the Northeast with more than 165 physicians, 1,800 employees, 285 other clinical providers and 40 locations in New York, Connecticut, Rhode Island and Massachusetts.


What you'll do:


The Coding Team Lead is responsible for mentoring and guiding our medical coding team to ensure accurate, timely, and compliant coding of all patient services rendered within the organization.

Responsibilities/Duties:

Primary Responsibilities:

• Onboarding new / additional coders to Spire Coding Team, including:
  • Participation in the interview process with Revenue Integrity Manager
  • Training / review all needed systems for newly hired certified coders
• Work with providers and practice staff to ensure that all charts are coded timely and correctly
• Establish back up plan / cross coverage (to address vacations (PTO), unexpected team absences, etc.) to ensure that timely coding is maintained
• Assist Coding staff as needed to escalate concerns (to senior staff as needed) regarding incomplete charts that cannot be coded
• Monitor practice coding volume and coder workload to ensure adequate workload distribution and to ensure that all completed charts are coded in a timely manner
• Comply and prepare other ad hoc reports as needed or requested by Revenue Cycle leadership
• Assist Director of Billing and Coding to prepare annual coding staff performance evaluations
• Serves as primary resource and support for coding staff
• Serves as a liaison between providers, practice leadership and RCM team.
• Performs other related duties as assigned.

Additional Responsibilities:

• Assist Coders, Revenue Cycle Representatives, Revenue Cycle Managers and other internal staff engaged with responsibilities related to or responsible for coding of charts for specific / previously identified practices and/or providers.
• Assist Coders, Revenue Cycle Representatives, Revenue Cycle Managers and other internal staff engaged with internal and/or external chart audits and reviews to ensure timely and proper completion of all audit task related task.
• Assist Revenue Cycle Managers, Practice leadership, Providers and axillary staff as needed with follow up education and support as needed and/or directed by manager.
• Subscribe to relevant and appropriate trade industry related list serves and updates, including but not limited to:
  • AAPC
  • AHIMA
  • Part B News
  • Medicare MACs
  • Commercial Payers

Who you are:

Qualifications:

• High school diploma or equivalent

• Acceptable certification from either AAPC and/or AHIMA
  • Required to include ICD-10 certification
  • Proficient and highly knowledgeable of current coding and billing guidelines:
    • ICD-10
    • CPT
    • HCPCS

• Knowledge of current and appropriate use of Modifiers
• General knowledge of HIPAA related guidelines specific to coding and billing
• General knowledge of current claims filing principles and guidelines

Additional Eligibility Qualifications/Competencies:

• Minimum 5 years' experience with direct coding responsibilities
• Minimum 3 years' experience claim filing & billing knowledge

What we offer:

• Excellent growth and advancement opportunities
• Dynamic environment
• Access to a diverse network of practitioners
• Broad infrastructure of tools and programs to enhance the employee experience
• Competitive Compensation
• Generous PTO
• Benefits package: health, dental, vision, 401(k), etc.

We are an equal-opportunity employer. Qualified Applicants are considered for positions and are evaluated without regard to actual or perceived race, color, creed, religion, national origin, ancestry, citizenship status, age, sex, or gender (including pregnancy, childbirth, and related medical conditions), gender identity or gender expression (including transgender status), sexual orientation, marital status, military service and veteran status, physical or mental disability, protected medical condition as defined by applicable state or local law, genetic information, or any other characteristic protected by applicable federal, state, or local laws and ordinances (referred to as "protected characteristics").