Coding Team Lead
Spire Orthopedic PartnersAbout the role
Job DetailsLevel: ExperiencedJob Location: MSO Corporate 1000 - Stamford, CT 06905Position Type: Full TimeEducation Level: High School or EquivalentSalary Range: $35.15 - $52.75 HourlyTravel Percentage: NoneJob Shift: DayJob Category: Health CareWho we are:
Spire Orthopedic Partners is a growing national partnership of orthopedic practices that provides the support, capital and operational resources physicians need to grow thriving practices for the future. As a Management Services Organization (MSO), Spire provides the infrastructure for administrative operations that allows practices to operate at their highest level, so doctors can focus their efforts on what matters most – patient care. Headquartered in Stamford, Connecticut, the Spire network spans the Northeast with more than 165 physicians, 1,800 employees, 285 other clinical providers and 40 locations in New York, Connecticut, Rhode Island and Massachusetts.
What you’ll do:
The Coding Team Lead is responsible for mentoring and guiding our medical coding team to ensure accurate, timely, and compliant coding of all patient services rendered within the organization.
Responsibilities/Duties:
Primary Responsibilities:
Onboarding new / additional coders to Spire Coding Team, including:
Participation in the interview process with Revenue Integrity Manager
Training / review all needed systems for newly hired certified coders
Work with providers and practice staff to ensure that all charts are coded timely and correctly
Establish back up plan / cross coverage (to address vacations (PTO), unexpected team absences, etc.) to ensure that timely coding is maintained
Assist Coding staff as needed to escalate concerns (to senior staff as needed) regarding incomplete charts that cannot be coded
Monitor practice coding volume and coder workload to ensure adequate workload distribution and to ensure that all completed charts are coded in a timely manner
Comply and prepare other ad hoc reports as needed or requested by Revenue Cycle leadership
Assist Director of Billing and Coding to prepare annual coding staff performance evaluations
Serves as primary resource and support for coding staff
Serves as a liaison between providers, practice leadership and RCM team.
Performs other related duties as assigned.
Additional Responsibilities:
Assist Coders, Revenue Cycle Representatives, Revenue Cycle Managers and other internal staff engaged with responsibilities related to or responsible for coding of charts for specific / previously identified practices and/or providers.
Assist Coders, Revenue Cycle Representatives, Revenue Cycle Managers and other internal staff engaged with internal and/or external chart audits and reviews to ensure timely and proper completion of all audit task related task.
Assist Revenue Cycle Managers, Practice leadership, Providers and axillary staff as needed with follow up education and support as needed and/or directed by manager.
Subscribe to relevant and appropriate trade industry related list serves and updates, including but not limited to:
AAPC
AHIMA
Part B News
Medicare MACs
Commercial Payers
QualificationsWho you are:
Qualifications:
High school diploma or equivalent
Acceptable certification from either AAPC and/or AHIMA
Required to include ICD-10 certification
Proficient and highly knowledgeable of current coding and billing guidelines:
ICD-10
CPT
HCPCS
Knowledge of current and appropriate use of Modifiers
General knowledge of HIPAA related guidelines specific to coding and billing
General knowledge of current claims filing principles and guidelines
Additional Eligibility Qualifications/Competencies:
Minimum 5 years' experience with direct coding responsibilities
Minimum 3 years' experience claim filing & billing knowledge
What we offer:
Excellent growth and advancement opportunities
Dynamic environment
Access to a diverse network of practitioners
Broad infrastructure of tools and programs to enhance the employee experience
Competitive Compensation
Generous PTO
Benefits package: health, dental, vision, 401(k), etc.
We are an equal-opportunity employer. Qualified Applicants are considered for positions and are evaluated without regard to actual or perceived race, color, creed, religion, national origin, ancestry, citizenship status, age, sex, or gender (including pregnancy, childbirth, and related medical conditions), gender identity or gender expression (including transgender status), sexual orientation, marital status, military service and veteran status, physical or mental disability, protected medical condition as defined by applicable state or local law, genetic information, or any other characteristic protected by applicable federal, state, or local laws and ordinanc
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