Explore more
About the role
- Lead and manage the surgery coding team to ensure accurate, compliant, and timely auditing of medical records.
- Will have to work on New Implementation/Recruitment/CTA/OPS Efficiency/Quality MIS.
- Oversee daily workflow, allocate tasks, and monitor productivity and quality metrics.
- Conduct regular audits and quality checks to ensure adherence to CPT, ICD-10-CM, and HCPCS coding standards.
- Provide training, mentorship, and performance feedback to team members.
- Stay updated on coding changes, payer policies, and regulatory guidelines, and cascade updates to the team.
- Collaborate with analytics, compliance, and operations teams to resolve coding issues and improve processes.
- Monitor KPIs and implement performance improvement strategies to enhance efficiency and accuracy.
- Apply payment integrity principles to identify coding discrepancies, documentation gaps, and revenue leakage opportunities.
Requirements
- achelor’s degree in Healthcare, Life Sciences, or Health Information Management (or related field).
- Mandatory certifications such as CCS, CPC, or CPMA.
- Extensive experience in medical coding with strong expertise in surgery coding.
- In-depth knowledge of CPT, ICD-10-CM, and HCPCS coding systems.
- Strong understanding of payment integrity processes and auditing methodologies.
- Experience working with EHR systems and coding software.
- Knowledge of healthcare regulations including HIPAA, HITECH, CMS, Medicare, LCDs, NCDs, and commercial payer guidelines.
- Excellent analytical and problem-solving skills with attention to detail.
- Strong communication and stakeholder management skills.
- Ability to manage teams, prioritize tasks, and perform in a fast-paced environment
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
surgery codingmedical codingCPT codingICD-10-CM codingHCPCS codingpayment integrityauditing methodologiesEHR systemscoding softwarequality metrics
Soft Skills
analytical skillsproblem-solving skillsattention to detailcommunication skillsstakeholder managementteam managementtask prioritizationmentorshipperformance feedbackcollaboration
Certifications
CCSCPCCPMA