Coding Team Lead
Practice Plus - Little Rock, AR

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Job Summary:

Lead and manage a team of professional coders. Review clinical documentation and apply appropriate billing and diagnostic codes using accepted guidelines.

Requirements:
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High school diploma or equivalent.
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Knowledge of medical terminology with an in-depth understanding of ICD9CM and CPT Coding principles focusing on evaluation and management services.
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Fundamental knowledge of current standard billing practices as defined by AMA, as well as, the ability to interpret clinical data.
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Computer skills required.
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2 Years coding experience required
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CPC certification required.
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Supervisory experience preferred.
Responsibilities/Duties:
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Audit for quality and monitor individual Coding Staff productivity and performance.
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Is available for consultation with Practice Plus, AHG and hospital departmental personnel as needed to facilitate process.
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Participates in coding peer audit with QI staff by contributing to open discussions and applying recommendations presented by QI staff member, Medical Director and/or Supervisor.
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Provides written/verbal feedback to Coding Specialist and/or Physician to assist in physician education on coding trends and patterns.
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Initiates training efforts with Supervisor, Physicians and Peers to meet regulatory compliance requirements. Develops and implements tracking mechanisms as needed to monitor coding trends and patterns.
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Works closely with Patient Accounts personnel to facilitate process and to perform special projects when needed.
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Lead and manage responsible CBO functional area while making collaborative decisions to ensure each department is performing at expected levels throughout the revenue cycle. Informs Supervisor of any issues potentially affecting service and outcomes.
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Present themselves as a leader in the company by participating in leadership development opportunities. Actively mentors and educates staff in the department through routine meetings, trainings and/or assisting with issues.
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Handles employee interviews, hiring, employee evaluations and disciplinary actions as needed. Responds to conflict resolution and policy/procedure issues appropriately consulting Supervisor and the HR department as needed
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Develop new and creative ways to improve employee engagement and recognition. Empower employees by involving them in decision making, training, etc.
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Complete and present to employees their annual evaluations.
Coding Responsibilities (as needed)
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Thoroughly reviews all physicians, nursing and complete medical record documentation and independently determines level of medical decision made by attending physician. Must establish the precise CPT code(s) including applicable modifiers, in compliance with regulatory guidelines while maintaining an accuracy rate of 96% or higher.
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Accurately reviews physician documentation and must establish the precise ICD-9 code(s) in compliance with regulatory guidelines while maintaining accuracy rate of 96% or higher.
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Independently responsible for maintaining knowledge of all coding regulatory guidelines and accountable for incorporating any and all changes into current operational processes.

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