Contractor Medical Coding Lead

Work You'll Do

• This role is remote with up to 10% travel.
• Coding lead will oversee contract support for coding of medical records for patients.
• All coders will update patient records with standardized medical information needed for data management and billing by translating physician and medical reports into uniform medical codes on both inpatient and outpatient encounters in Cerner Millennium.
• Oversee large staff of production medical coders for professional and facility coding (outpatient, inpatient, or both), ensuring quality and productivity standards are met
• Analyze outstanding coding work to be completed to identify priorities for staff work; Assign work to all contractor coders and leverage work lists using Cerner EHR.
• Resolve coding discrepancies, mediate disputes, set audit assignments, manage time and attendance, and plan performance improvement daily.
• Provide educational feedback to the Government and Providers on inappropriate documentation patterns.
• Maintain records and statistics, including quality control measures, Cerner EHR reporting, coding accuracy, workload completed, and ad hoc reports as required.
• Complete production medical coding duties as required (described below):
• Accurately assign diagnosis and procedure codes for facility and professional services for Day Surgery (a.k.a. Ambulatory Procedure Visit (APV)), Dental surgical procedures, Observation, Emergency Department (ED), outpatient ERSA, outpatient procedures, outpatient specialty encounters, and any outpatient primary care encounters billable to a third party IAW accuracy, completeness, productivity, and timeliness standards.
• Work may involve areas such as Laboratory, Radiology, and Dental services.
• Codes records with correct Ambulatory Payment Classifications (APCs); and Relative Value Units (RVUs) to receive correct reimbursement or workload credit.
• Perform necessary tasks within Cerner Millennium and other coding systems (e.g., 3M360) to complete encounter
• Adhere to accepted coding practices, guidelines and conventions when choosing the most appropriate diagnosis, operation, procedure, ancillary, or E&M code to ensure ethical, accurate, and complete coding.
• May perform assessments and examine records for proper sequence of documents, presence of authorized signatures, and sufficient data is documented that supports diagnosis, treatment administered, and results obtained.
• Conduct physician queries and monitor query submission, response times, and completion.
• Work with providers and clinical staff to resolve documentation issues to support coding compliance.
• Respond to provider questions and provide examples of appropriate coding and documentation references to provide clarity and understanding.
• Support coding compliance by performing due diligence in ethically and appropriately researching and/or interpreting existing guidance, including seeking clarification from the Lead Medical Coder, supervisor, or client

The team

Our Core Technology Operations group enables differentiation and focused growth for large-scale infrastructure, data center, and operations projects. We take part in operation services for our clients with emphasis on automation and delivery excellence. Our core capabilities include: IT Operations Delivery & Management, Customer Experience Enhancement, Operations Transformation, transportation modernization, and Emerging Technology platforms such as drones and 5G networks.

Qualifications

Required

• Bachelor's Degree
• 5+ years of supervisory experience in medical coding.
• Active credential/certification with AAPC or AHIMA from EACH of the following categories:
  • Professional Services Coding Certifications: ONE of the following recognized professional coding certifications: Registered Health Information Technician (RHIT); Registered Health Information Administrator (RHIA); Certified Professional Coder (CPC); or Certified Coding Specialist - Physician (CCS-P).
  • Institutional (Facility) Coding Certifications: ONE of the following recognized institutional coding certifications: Registered Health Information Technician (RHIT); Registered Health Information Administrator (RHIA); Certified Inpatient Coder (CIC), Certified Outpatient Coder (COC), or Certified Coding Specialist (CCS)
  • RHIT and RHIA may only be used to cover 1 of the 2 required certifications
• Must be legally authorized to work in the United States without the need for employer sponsorship, now or at any time in the future
• Travel up to 10%

Preferred

• Knowledge of medical terminology, surgical, pharmaceutical, hospital terms, and abstracting techniques.
• Knowledge of references such as the ICD-10, ICD-9-CM, CPT, HCPCS, medical dictionaries, and coding textbooks.
• Knowledge of legal and regulatory requirements of medical records.
• Knowledge of medical records procedures and principles to perform various functions such as analysis, coding, compliance, and data compilation.
• Knowledge of data collection methods for healthcare, research, and statistical reporting.
• Knowledge of laws and regulations on medical records confidentiality.