Medical Coding Team Lead

Sutherland; Clifton (NJ); On-site; USD 70,000 - 110,000; Full time

Job summary

Sutherland is seeking a Medical Coding Team Lead to support daily operations of the Medical Coding Department. You will collaborate with Coding Managers to ensure efficiency, quality, and compliance, while guiding coders and monitoring performance metrics.

The role emphasizes coaching, education, and adherence to ICD-10-CM, ICD-10-PCS, CPT, HCPCS Level II, CMS guidelines, and payer requirements, with a focus on HIPAA confidentiality.

Qualifications

• Minimum of 5 years of progressive medical coding experience.
• Current coding certifications CPC, CCS, or RHIA preferred.
• Advanced knowledge of ICD-10-CM, ICD-10-PCS, CPT, HCPCS Level II.
• Experience with CMS guidelines, payer requirements, and coding guidelines.
• Experience using EHR systems and coding software.

Responsibilities

• Provide day-to-day operational support to Coding Managers without direct supervisory responsibility.
• Monitor coding work queues, assign workloads, and escalate productivity issues.
• Serve as a resource for coders on routine coding questions and workflow concerns.
• Offer technical guidance and mentorship to improve coding accuracy and compliance.
• Maintain departmental policies, procedures, and quality standards.
• Assist in monitoring productivity, quality, and turnaround time metrics.
• Support staff development through coaching and education.
• Escalate performance concerns or compliance issues as appropriate.
• Stay current with coding regulations, payer requirements, and CMS guidance.

Education

CPC

CCS

RHIA

Tools

EHR software

Job description

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Job Description

The Medical Coding Team Lead supports the day-to-day operations of the Medical Coding Department by serving as a resource to coding staff and partnering closely with Coding Managers to ensure operational efficiency, coding quality, productivity, and compliance. This position provides technical guidance, assists with workflow coordination, monitors work queues and performance metrics, resolves routine operational issues, and supports training and quality initiatives. The Team Lead serves as a liaison between coding staff and management, helping to maintain consistent operations while promoting a collaborative and high-performing work environment.

Essential Duties and Responsibilities:

• Provide day-to-day operational support to Coding Managers without assuming direct supervisory responsibility; to include workflow coordination in alignment with operational priorities.
• Monitor coding work queues, assign or redistribute workloads as directed, and elevate issues that may impact productivity or turnaround times.
• Serve as resource for coders regarding routine coding questions, workflow concerns, and operational issues.
• Provide technical guidance and mentorship to coding staff while promoting coding accuracy and compliance.
• Reinforce departmental policies, procedures, and quality standards.
• Assist Coding Managers in monitoring coding productivity, quality, and turnaround time metrics.
• Support employee development through coaching, knowledge sharing, and education.
• Escalate employee performance concerns, workflow barriers, or compliance issues to Coding Managers as appropriate.
• Assist with providing ongoing education related to departmental procedures.
• Assist with ensuring compliance with ICD-10-CM, ICD-10-PCS, CPT, HCPCS Level II, Medicare, Medicaid, commercial payer, and organizational coding guidelines.
• Support departmental projects, workflow improvements, system implementations, and process optimization initiatives.
• Stay current with coding regulations, payer requirements, CMS guidance, and industry best practices.
• Maintain confidentiality of protected health information (PHI) in accordance with HIPAA regulations.

Qualifications

Required Qualifications:

• Minimum of 5 years of progressive medical coding experience.
• Previous experience serving as a senior coder, lead coder, trainer, mentor, or similar role preferred.
• Current coding certification such as:
• Certified Professional Coder (CPC)
• Certified Coding Specialist (CCS)
• or Registered Health Information Administrator (RHIA) preferred
• Advanced knowledge of ICD-10-CM, ICD-10-PCS, CPT, and HCPCS Level II coding systems.
• Thorough understanding of CMS regulations, National Correct Coding Initiative (NCCI), Official Coding Guidelines, and payer-specific requirements.
• Experience using electronic health records (EHR) and coding software.

Additional Information

All your information will be kept confidential according to EEO guidelines.

EEOC and Veteran Documentation

During employment, employees are treated without regard to race, color, religion, sex, national origin, age, marital or veteran status, medical condition or handicap, or any other legally protected status. At times, government agencies require periodic reports from employers on the sex, ethnicity, handicap, veteran and other protected status of employees. The purpose of this Administrative EEO Record is for statistical analysis only and is used to comply with government record keeping, reporting, and other legal requirements. Periodic reports are made to the government on the following information. The completion of the Administrative EEO record is optional. If you choose to volunteer the requested information, please note that all Administrative EEO Records are kept in a Confidential File and are not part of your Application for Employment or Personnel file. Please note: YOUR COOPERATION IS VOLUNTARY. INCLUSION OR EXCLUSION OF ANY DATA WILL NOT AFFECT ANY EMPLOYMENT DECISION.