medical coding Team Lead

Job Summary:

The Medical Coding Team Lead is responsible for overseeing the daily operations of the medical coding team to ensure accurate, timely, and compliant coding of clinical documentation. The Team Lead serves as the subject matter expert (SME) and liaison between coders, auditors, physicians, and leadership. They also assist in training, auditing, and quality assurance processes.

Key Responsibilities:

• Supervise and support a team of medical coders to ensure accuracy, productivity, and compliance with regulatory standards (e.g., ICD-10-CM, CPT, HCPCS, CMS, and payer guidelines).
• Assign and prioritize workloads to ensure timely completion of coding tasks and meet departmental turnaround time (TAT) goals.
• Monitor coding productivity and accuracy; generate and analyze performance reports.
• Conduct regular quality audits and provide feedback and coaching to team members.
• Act as a liaison between coding team and other departments (e.g., billing, compliance, clinical staff).
• Train new coders and support continuous education efforts (e.g., updates to coding guidelines or regulations).
• Assist in resolving coding and documentation-related issues, including claim denials and appeals.
• Participate in recruitment, onboarding, and performance evaluations of team members.
• Ensure adherence to HIPAA and company privacy and security policies.
• Stay up-to-date with coding changes, payer updates, and industry best practices.

Qualifications:

• Education:

   Associate’s or Bachelor’s degree in Health Information Management or related field (preferred).

• Certification (required):

   CPC, CCS, or equivalent (AHIMA or AAPC recognized credentials).

• Experience:

   Minimum 3–5 years of medical coding experience, with at least 1–2 years in a lead or supervisory role.

• Specialty experience (if needed):

   [e.g., inpatient, ED, radiology, multi-specialty].
• Strong knowledge of ICD-10-CM, CPT, HCPCS, and medical terminology.
• Proficient in using coding software, EHR systems, and billing platforms (e.g., Epic, Cerner, 3M, EncoderPro).
• Excellent leadership, communication, and problem-solving skills.

Preferred Skills:

• Experience in training, mentoring, and performance management.
• Knowledge of payer guidelines, claim appeal processes, and audit procedures.
• Familiarity with risk adjustment or HCC coding (if applicable).
• Ability to work independently in a fast-paced environment.

Job Types: Full-time, Permanent

Benefits:

• Health insurance