HB Outpatient Team Lead

BBSS Beyond Blue; Kentucky; Hybrid; USD 85,000 - 110,000; Full time

Job summary

Beyond Blue Corporation, affiliated with the University of Kentucky, seeks an HB Outpatient Team Lead to coordinate daily outpatient coding workflows and serve as the technical lead for coding accuracy and compliance.

You will mentor staff, support training, and collaborate with providers, auditors, and revenue cycle teams to resolve documentation and coding issues while driving quality metrics.

Qualifications

• 7+ years of outpatient coding experience with leadership or mentoring responsibilities.
• RHIA, CPMA, CCS, CPC, CCS-P, RHIT or equivalent certifications required.

Responsibilities

• Reviews and codes complex outpatient cases.
• Plans and prioritizes work to meet commitments.
• Tracks and analyzes coding denials and supports the appeal process.
• Assigns and monitors daily coding queues for productivity and accuracy.
• Performs coding for complex outpatient encounters and reviews difficult cases.
• Serves as SME for outpatient coding guidelines and payer rules.
• Mentors and trains coding staff with feedback and guidance.
• Assists supervisors in quality reviews and performance reporting.
• Collaborates with providers and departments to address documentation issues.

Skills

Outpatient coding

Mentoring staff

Coding accuracy

Payer rules knowledge

Education

High school diploma or equivalent

Associate or Bachelor’s in HIM preferred

Job description

Beyond Blue Job Posting Title: HB Outpatient Team Lead Requisition Number: R-000004893 Department Name: Coding Work Location: Remote-KY Grade Level: 11 Type of Position: Regular Position Time Status: Full time Equivalency Link https://hr.uky.edu/employment/working-uk/equivalencies Shift: Day (United States of America)

Job Summary

Responsible for coordinating daily outpatient coding workflows and serving as a technical lead for coding accuracy and compliance. Provides advanced coding expertise, mentors staff and supports training and quality initiatives. Collaborates with providers, auditors, and revenue cycle teams to resolve documentation and coding issues.

Essential Functions

• Reviews and performs coding for complex or high-priority outpatient cases.
• Plans and prioritizes work to meet commitments aligned with organizational goals.
• Tracks and analyzes coding-related denials and supports the appeal process.
• Assigns and monitors daily coding work queues to ensure productivity and accuracy.
• Performs coding for complex outpatient encounters and reviews difficult cases.
• Serves as subject matter expert for outpatient coding guidelines and payer rules.
• Mentors and trains coding staff, providing feedback and technical guidance.
• Assists supervisors in conducting quality reviews and preparing performance reports.
• Collaborates with providers and departments to address documentation issues.
• Tracks and reports audit outcomes and coding quality metrics.
• Performs other duties as assigned.

Education Requirement

High school diploma or equivalent; Associate’s or Bachelor’s in HIM preferred

Experience Requirement

7+ years of outpatient coding experience with demonstrated leadership or mentoring responsibilities An equivalent combination of education and experience may be considered. All experience must be paid and in the same related field. Part-time and PRN experience will be prorated based on hours worked per week. Volunteer work and internships for academic credit are not counted.

Certifications & Licensures:

Registered Health Information Administrator (RHIA) , CPMA, Certified Coding Specialist (CCS) ,Certified Professional Coder (CPC), Certified Coding Specialist – Physician-based (CCS-P), Registered Health Information Technician (RHIT), or equivalent required.

Working Conditions

• A. Lifting, pushing, and/or pulling objects up to 50lbs:2. Occasional (< 10% of the time)
• B. Lifting, pushing, and/or pulling objects over 50lbs:1. Never
• C. Standing or walking with objects up to 10lbs:3. Intermittent (10% - 50% of the time)
• D. Standing or walking with objects up to 25lbs:2. Occasional (< 10% of the time)
• E. Sitting at the computer workstation for extended periods:3. Intermittent (10% - 50% of the time)
• F. Risk of back injury from moving, lifting or positioning patients, equipment, or materials:2. Occasional (< 10% of the time)
• G. Repetitive motion:3. Intermittent (10% - 50% of the time)
• H. Working at heights above 4 feet:1. Never
• I. Working in confined spaces:1. Never
• J. Risk of injuries from use of equipment on the job:2. Occasional (< 10% of the time)
• K. Job-related travel:2. Occasional (< 10% of the time)
• L. Loud noises:1. Never
• M. Temperature extremes:1. Never
• N. Hazardous chemicals and fumes including waste:2. Occasional (< 10% of the time)
• O. Radiation:1. Never
• P. Burns:1. Never
• Q. Cuts/Punctures:2. Occasional (< 10% of the time)
• R. Bloodborne/airborne pathogens:2. Occasional (< 10% of the time)
• S. Recombinant DNA or viral vectors:1. Never
• T. Combative/violent people:1. Never
• U. Animal handling (including carcasses):1. Never
• V. Please specify other(s) and amount of exposure (i.e. Occasional, Intermittent or Regular): N/A

Physical Demands

This position requires intermittent sitting at a computer workstation for extended periods of time; performing tasks with repetitive motions (such as typing); intermittent standing or walking with objects weighing up to 10 pounds; occasional standing or walking with objects weighing up to 25 pounds; and occasional lifting, pushing, or pulling objects weighing up to 50 pounds.

Our University Community

We value the well-being of each of our employees and are dedicated to creating a healthy place for everyone to work, learn and live. In the interest of maintaining a safe and healthy environment for our students, employees, patients and visitors, the University of Kentucky is a Tobacco & Drug Free campus. The University follows both the federal and state Constitutions as well as all applicable federal and state laws on nondiscrimination. The University provides equal opportunities for qualified persons in all aspects of institutional operations and does not discriminate on the basis of race, color, national origin, ethnic origin, religion, creed, age, physical or mental disability, veteran status, uniformed service, political belief, sex, sexual orientation, gender identity, gender expression, pregnancy, marital status, genetic information or social or economic status. Any candidate offered a position may be required to pass pre-employment screenings as mandated by University of Kentucky Human Resources. These screenings may include a national background check and/or drug screen.

Purpose-driven work is behind every aspect of our mission to advance Kentucky – from its economy to its health and from its culture to its levels of educational attainment. We're looking for talented, dedicated individuals to help us support this vital mission and make a difference in the lives of Kentuckians and beyond. Join us as we build a future grounded in service, collaboration and excellence, one where your talents help move our Commonwealth forward.

Beyond Blue Corporation

Beyond Blue Corporation, an affiliated entity of the University of Kentucky, is a strategic vehicle to support the university's growth. Beyond Blue is a nonprofit company that allows the university to abide by all public entity rules and laws while allowing leaders to have some separation and distinctiveness to focus on one core business. The UK Board of Trustees appoints the Beyond Blue Board of Directors and the directors of any of its subsidiary companies.