Medical Coder

Job Summary

Medical Coding Team Lead

Key Responsibilities

• Lead and manage a team of medical coders focused on E/M and surgical coding.

• Assign workloads, monitor productivity, and ensure timely completion of coding tasks.

• Perform coding audits to ensure accuracy, compliance (CPT, ICD-10-CM, HCPCS, CMS guidelines), and adherence to documentation standards.

• Provide feedback, mentoring, and training to team members on complex coding issues and updates.

• Stay current with changes in coding guidelines, payer policies, and industry best practices.

• Collaborate with billing, compliance, and clinical teams to resolve coding discrepancies or denials.

• Ensure team compliance with HIPAA and other relevant privacy and security regulations.

• Participate in hiring, onboarding, and performance evaluations of coding staff.

• Report performance metrics, audit results, and productivity updates to leadership.

• Identify and implement process improvements to increase coding accuracy and efficiency.

Qualifications

• Education

• Certifications

• Experience

  • Minimum of 5 years of hands-on medical coding experience with a focus on E/M and surgical procedures.

  • Minimum of 12 years in a lead or supervisory role.

• Skills

  • In-depth knowledge of CPT, ICD-10-CM, and HCPCS Level II codes.

  • Strong understanding of CMS, NCCI edits, payer-specific guidelines, and documentation requirements.

  • Excellent analytical, problem-solving, and organizational skills.

  • Proficiency with EMR/EHR systems and coding software (e.g., EPIC, 3M, EncoderPro).

  • Strong verbal and written communication skills.

  • Ability to train and mentor junior coders effectively.