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Lead, Quality Coding Specialist
2 months ago
Essential Functions:
- Lead the Quality Coding Specialists
- Guide and support team members in their daily tasks/projects
- Train and monitor new Quality Coding Specialists
- Monitor established Quality Coding Specialists, providing instruction and education
- Foster collaboration to address challenges encountered by the team
- Conducts internal reviews for coding accuracy and provides training based on audit findings.
- Evaluation and Management (E/M)
- HCPC
- ICD-10
- Assists in the development, completion, and maintenance of a comprehensive, medical coding audit program.
- Prepare reports on findings for management.
- Effectively communicates with others throughout the organization to facilitate cooperation in reaching the required standards.
- Report inaccurate or incomplete data to appropriate parties.
- Assists in the review and updating of policies and procedures related to coding and documentation guidelines.
- Identifies and makes recommendations for participation in external programs.
- Trains and monitors new Quality Coding Specialists.
- Performs other duties as assigned.
- Maintain strict confidentiality.
Education:
- Accredited Professional Coder Certification, or similar, required
- Audit certification required
Experience:
- Minimum 5 years coding within medical practice required
- Audit experience preferred
Knowledge:
- Proficient in coding guidelines, concepts, and principles.
- Proficient in legal, regulatory, and policy compliance issues related to medical coding and documentation.
- Proficient knowledge of medical terminology, anatomy, and physiology.
- Policies and procedures.
Skills:
- Exceptional skill in effectively communicating complex material to the target audience.
- Adept in medical record auditing and abstraction of the necessary information.
- Experienced in the analysis of data, policies, and requirements.
- Evaluating, identifying opportunities, and effectively addressing identified opportunities.
Abilities:
- Work independently or as part of a team.
- Adept in effectively communicating both verbally and in writing with a diverse audience.
- Aptitude to maintain a professional work environment.
- Proclivity to plan and prioritize projects and meet demanding deadlines.
- Collaborate with others in a professional manner.
- Effectively lead a team.
Environmental Working Conditions:
- General office environment.
- Some travel within the community and potentially to other Markets.
Physical/Mental Demands:
- Requires sitting and standing associated with a normal office environment.
- Some bending and stretching are required.
- Manual dexterity using a calculator and computer keyboard.
