Lead Medical Coder

Insight Global; Maryland; On-site; USD 80,000 - 100,000; Full time

Job summary

An established industry player is seeking a Lead Medical Coder to support a large healthcare system in Maryland. In this pivotal role, you will oversee coding operations, ensuring compliance with coding guidelines and enhancing the accuracy of code assignments. Your expertise in ICD-10-CM and MS-DRG coding will be crucial as you lead a team in navigating complex coding scenarios. This position offers a unique opportunity to make a significant impact in a dynamic healthcare environment, where your contributions will directly influence patient care and operational efficiency. If you are passionate about coding and eager to lead, this is the perfect opportunity for you.

Benefits

Medical insurance

Vision insurance

401(k)

Qualifications

• 4+ years of recent inpatient coding experience required.
• Must be certified as CPC, CIC, or CCS.
• Proficient knowledge of MS-DRG and APR-DRG coding.

Responsibilities

• Oversee daily inpatient and outpatient coding operations.
• Review medical records for accurate code assignment.
• Collaborate with healthcare providers for documentation clarification.

Skills

ICD-10-CM Coding

MS-DRG Coding

CPC Certification

CIC Certification

CCS Certification

EPIC Software

Medical Coding Compliance

Patient Documentation Analysis

Team Collaboration

Education

High School Degree

Tools

Electronic Health Records (EHR)

Job description

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This range is provided by Insight Global. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more.

Base pay range

$38.00/hr - $45.00/hr

Direct message the job poster from Insight Global

Insight Global is seeking Lead Medical Coder to support a large healthcare system based out of Annapolis, MD. The Medical Lead Coder under the supervision of the Manager of Coding and Data Quality In accordance with coding guidelines, ICD-10-CM Official Coding Guidelines for Coding and reporting and other authoritative resources assists with oversight of daily inpatient and outpatient coding operations. This will include work volume and distribution, workflow evaluations and testing. This position will also include reviewing and reconciling reports, providing coding training within the Coding Department, and performing research on coding issues. This position will entail 30% oversight, 70% high level coding. Must have knowledge of combined accounts. This Lead will be working in the work queues, focused in errors, and troubleshooting the wrong code. They will have oversight of inpatient and outpatient coding.

Requirements:

• HS Degree or equivalent
• Certified as a CPC, CIC or CCS.
• At least 4 years of recent inpatient coding experience
• Proficient knowledge of MS-DRG and APR-DRG coding
• At least 2 years of previous experience in a working supervisor or lead role.
• Previous experience working in EPIC
• Review Inpatient medical records, including patient histories, examination findings, diagnoses, and treatment plans, to extract pertinent information for code assignment. Assign the principal and significant secondary ICD-10-CM diagnosis codes, in addition to present on admission indicators, and ICD-10-PCS procedure codes, using official coding guidelines and knowledge of anatomy and physiology, pharmacology and pathophysiology/disease processes. Ensure compliance with coding guidelines, conventions, and regulatory requirements, including adherence to HIPAA (Health Insurance Portability and Accountability Act) privacy regulations.
• Utilize coding references, software tools, and electronic health records (EHR) to facilitate accurate and efficient code assignment.
• Maintain a high level of accuracy in code assignment to prevent claim denials, billing errors, and potential legal issues.
• Stay updated with coding changes, industry trends, and regulatory updates to ensure coding practices align with the latest guidelines and requirements.
• Collaborate with healthcare providers, billing staff, and other stakeholders to clarify documentation, to resolve coding-related queries, and to ensure accurate and timely claim submission and reimbursement.
• Participate in ongoing education, training, and certification programs to enhance coding proficiency and maintain credentials.
• Uphold professional ethics, integrity, and confidentiality in handling patient information.
• Communicate and collaborate with healthcare providers to clarify documentation, obtain necessary information for accurate code assignment, and resolve coding-related queries.
• Ensure documentation supports the codes assigned and accurately reflects the services provided to maintain compliance with coding guidelines.
• Stay updated on changes to coding regulations, payer requirements, and industry trends to ensure coding practices align with the latest standards.
• Analyze complex medical scenarios and make informed decisions regarding code selection based on the documentation provided.
• Conduct regular audits and quality assurance reviews to monitor coding accuracy, identify areas for improvement, and implement corrective measures as needed.
• Generate reports and provide coding-related data analysis to support healthcare management and decision-making.
• Stay informed about coding compliance standards and assist in the development and implementation of coding policies and procedures.
• Collaborate with the revenue cycle team to ensure seamless billing and reimbursement processes.
• Serve as a resource for coding-related questions and provide guidance to colleagues and team members as needed.
• Actively participate in coding team meetings, departmental meetings, and professional development activities to share knowledge, exchange best practices, and contribute to the growth of the coding team.
• Adhere to professional coding ethics and standards, including maintaining patient confidentiality and privacy.
• Provide support during external coding audits, including cooperating with auditors, providing documentation, and addressing any findings or recommendations.
• Assist with the implementation of coding-related software, updates, and system enhancements to optimize coding processes.
• Maintain a positive and collaborative working relationship with healthcare providers, billing staff, and other stakeholders to foster effective teamwork and communication.

Seniority level

• Seniority level

  Mid-Senior level

Employment type

• Employment type

  Contract

Job function

• Job function

  Other and Management

• Industries

  Hospitals and Health Care

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Inferred from the description for this job

Medical insurance

Vision insurance

401(k)

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