Coding Team Lead

Spire Orthopedic Partners; Turn of River (CT); On-site; USD 90,000 - 120,000; Full time

Benefits offered by this job

Competitive compensation

Generous PTO

Benefits package

Job summary

Spire Orthopedic Partners is seeking a Coding Team Lead to mentor our medical coding team. You will onboard new coders, train on systems, and work with providers to ensure timely, accurate coding of services.

You will establish back-up coverage, escalate coding concerns, and support leadership with performance evaluations. The role requires strong ICD-10 knowledge, CPT/HCPCS familiarity, and 5+ years of coding experience, including 3+ years in billing.

Qualifications

• Minimum 5 years' experience with direct coding responsibilities.
• Minimum 3 years' experience claim filing & billing knowledge.
• Proficient knowledge of ICD-10, CPT, HCPCS coding guidelines.

Responsibilities

• Onboard new coders and participate in interview processes.
• Train and review systems for newly hired coders.
• Ensure timely and accurate chart coding with providers and staff.
• Establish cross coverage and handle escalations on incomplete charts.
• Prepare ad hoc reports and assist with staff performance evaluations.

Skills

Mentoring

Team leadership

Interviewing candidates

Training

Revenue Cycle

Education

High school diploma or equivalent

ICD-10 certification

AAPC/AHIMA certification

Job description

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 ManagerTraining / review all needed systems for newly hired certified codersWork with providers and practice staff to ensure that all charts are coded timely and correctlyEstablish back up plan / cross coverage (to address vacations (PTO), unexpected team absences, etc.) to ensure that timely coding is maintainedAssist Coding staff as needed to escalate concerns (to senior staff as needed) regarding incomplete charts that cannot be codedMonitor practice coding volume and coder workload to ensure adequate workload distribution and to ensure that all completed charts are coded in a timely mannerComply and prepare other ad hoc reports as needed or requested by Revenue Cycle leadershipAssist Director of Billing and Coding to prepare annual coding staff performance evaluationsServes as primary resource and support for coding staffServes 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:AAPCAHIMAPart B NewsMedicare MACsCommercial PayersWho you are:Qualifications:High school diploma or equivalentAcceptable certification from either AAPC and/or AHIMARequired to include ICD-10 certificationProficient and highly knowledgeable of current coding and billing guidelines:ICD-10CPTHCPCSKnowledge of current and appropriate use of ModifiersGeneral knowledge of HIPAA related guidelines specific to coding and billingGeneral knowledge of current claims filing principles and guidelinesAdditional Eligibility Qualifications/Competencies:Minimum 5 years' experience with direct coding responsibilitiesMinimum 3 years' experience claim filing & billing knowledgeWhat we offer:Excellent growth and advancement opportunitiesDynamic environmentAccess to a diverse network of practitionersBroad infrastructure of tools and programs to enhance the employee experienceCompetitive CompensationGenerous PTOBenefits 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”).