Lead Coder

Lead Coder

Evaluates medical records, provides clinical abstracts and assigns appropriate clinical diagnosis and procedure codes for both inpatient and outpatient services in accordance with nationally recognized coding guidelines. Meets quality standards of having 95% of principal diagnoses and procedures correctly coded. Serves as a liaison between clinicians and the coding staff. Collaborates with all members of the revenue cycle to ensure data quality and optimum reimbursement allowable under the federal and state payment systems. Supervises the coding department in relation to the following: distribution of work assignments, dissemination of current coding guidelines and modern technology information, and provides relevant coding education to the coders, clinicians, and revenue cycle staff.

Minimum Requirements

• Knowledge and understanding of ICD10 and CPT coding principles as recommended by the American Health Information Management Association coding competencies.
• One or more years of experience providing coding services for a broad range of hospital and acute care facilities.
• Must be able to achieve an acceptable accuracy rate on the coding audits administered by the hiring facility according to pre-established company standards.
• Minimum of successful completion of a coding certificate program in a program with AHIMA approval status. RHIT or CCS preferred.
• Prior hospital coding experience required.
• Meditech experience preferred; 3M Coding and Reimbursement experience required.
• Extensive knowledge of medical records principles and practices, anatomy, physiology, pathology, medical terminology, standard nomenclature, and classification of diagnoses and operations.