Team Leader

• Serves as the primary source for coder inquiries
• Reviews documentation for appropriate required elements such as attestations, signatures, dates, etc.
• Abstracts and codes surgical procedures from all sections of CPT and cross walks surgical codes to ASA
• Applies appropriate modifiers
• Codes ICD-10
• Abstracts anesthesia times and events
• Identifies and assigns care team providers
• Reviews for medical direction
• Meets team KPIs to include daily production and quarterly coding audit score requirements
• Works cases that have been escalated by coding staff and provides feedback on escalated cases
• Analyzes data and provides required reports for management as requested
• Works complex edits and denials to include concurrency and provider time conflicts
• Assists coders with quarterly audit findings and rebuttals
• Collaborates on playbook development and updates (SOPs/pathways)
• Communicates complex coding questions to the coding quality and education department
• Identifies and reports trends
• Performs other duties as assigned

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Coding Team Leader