Lead Coder

is not intended to be all-inclusive; employees will perform other related business duties as assigned by the immediate supervisor and/or hospital administration as required.

• Always maintains utmost level of confidentiality.
• Adheres to hospital policies and procedures.
• Demonstrates business practices and personal actions that are ethical and adhere to corporate compliance and integrity guidelines.
• Successfully perform coding quality reviews to validate correct coding and abstracting.
• Provide feedback to coding staff regarding audit results.
• Provide cross-training support to the Coders and Coding Quality Analysts in areas where coding compliance is not met.
• Provide quality reviews as requested from other departments such as Case Management, Quality, and Patient Financial Services.
• Assist with scrubbing claims for errors and correcting claim edits.
• Work with analyst to build edits to prevent denials.
• Ensure accuracy and optimization of quality initiatives such as Potentially Preventable Events, ICD-10, Data Governance, and future initiatives.
• Maintain ongoing communication with management, CDI, and coding staff to ensure coding compliance goals are met.
• Assist CBO management in performing coder education tasks and new employee orientation.
• Assist in preparation of Compliance and Audit reports.
• Assist with new physician education and audit schedule.
• Assist CBO management in the analysis of Compliance and Audit reports.

Education and/or Experience

• Associate degree (A.A.) or equivalent from two-year college or technical school; or two to three years related experience and/or training; or equivalent combination of education and experience.
• Bachelor's degree (B. A.) from four-year college or university; or two to three years related experience and/or training; or equivalent combination of education and experience

Certificates, Licenses, Registrations.

• CPC or CCS-P required