Senior Medical Coder Lead | Quality & Mentorship

Socket.dev; Pequannock Township (NJ); On-site; USD 95,000 - 145,000; Full time

Job summary

Atlantic Health is seeking a Lead HIM Coder to oversee the coding team, educate staff, and monitor work queues to support timely and accurate billing across encounters. You will audit records and collaborate with CDI, physicians, and Revenue Integrity to improve documentation and reimbursement.

Responsibilities include auditing DRG accuracy, driving denials reduction, and staying current with Medicare guidelines and industry updates.

Qualifications

• Must have 5 years progressive coding experience.
• CCS certification required or equivalent.
• Strong knowledge of ICD/DRG coding and Medicare reimbursement.

Responsibilities

• Manage multiple EPIC work queues to ensure timely billing and resolution within 2–3 days.
• Audit coder performance to achieve >= 95% coding and DRG accuracy.
• Educate and mentor coding staff; onboard new coders; run monthly team meetings.
• Liaise with Coding Division, CDI Program, physicians, and Revenue Integrity to improve documentation and charge accuracy.
• Conduct daily coding audits and review PSI, Vizient, and 3M data for accuracy and performance metrics.
• Oversee DRG validation and denial management, resolve coding disputes, ensure documentation supports reimbursement.
• Apply national coding standards and stay current with SNOWI? (SOI/ROM), AHRQ PSI criteria, NTAP and Medicare changes.
• Drive process improvements with CDI, Quality, and ER to reduce denials and improve national quality ratings.

Skills

Audit records accuracy

Mentor coding staff

Liaise with CDI/physicians

Monitor coding performance

Education

High School Diploma or equivalent with Medical Coding Education

Associate or Bachelor's in healthcare related field

CCS-P or CCA preferred

Tools

EPIC

Job description

Atlantic Health is seeking a Lead HIM Coder to oversee the coding team, educate staff, and monitor work queues to support timely and accurate billing across encounters. You will audit records and collaborate with CDI, physicians, and Revenue Integrity to improve documentation and reimbursement.

Responsibilities include auditing DRG accuracy, driving denials reduction, and staying current with Medicare guidelines and industry updates.