Rice Community Health
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Job Title:
Lead Medical Coder - Clinic
Department:
Lyons Family Care
Reports To:
Clinic Director / Clinic Manager
FLSA:
Non-Exempt
Job Summary
As the Lead Medical Coder, you will play a crucial role by analyzing patient records to adhere to internal policies and processes that are consistent with coding guidelines and reimbursement policies. Lead Medical Coder’s purpose is to help to improve the accuracy, integrity and quality of patient data, ensure minimal variation in coding practices, and improve the quality of the physician documentation within the body of the medical record to support code assignments. As Lead Medical Coder, your leadership will be vital in mentoring and overseeing other clinic coders.
Essential Functions
Handles complex coding cases and ensures compliance with coding standards; Stays updated on changes and revisions to codes to ensure accurate and compliant coding. Reviews medical record thoroughly to ensure charges, diagnoses/procedures and appropriate modifiers are on accounts. Perform research, run various reporting and assist with general coding as needed and as requested. Query appropriate physician on incomplete, missing or vague documentation. Codes all diagnoses/procedures in accordance to ICD-10-CM, ICD-10-PCS and CPT coding guidelines and payer contracts. Assists the director with state requirements and reports. Responsible for Chargemaster maintenance Works coding issues and denials sent back from billing Provide training and support to other coders. Must possess the ability to multitask and maintain accuracy and coding productivity standards. Oversee coding-related components of the month-end and year-end closing processes for the clinics, ensuring all charges are captured, coded, and finalized within designated timeframes. Collaborate with billing and finance teams to reconcile encounters, address outstanding documentation issues, and ensure accurate revenue reporting. Ensure coders meet deadlines for finalizing coding prior to close and troubleshoot any barriers to timely clinic closeouts.
Qualifications
Minimum Education High School or equivalent Associates degree in Health Information Technology preferred. RHIT or coding certification through AHIMA or AAPC Minimum Experience Three years coding experience preferred Knowledge of CPSI / Trubridge and eClinicalWorks
Proficiency: Outpatient, ancillary coding Infusion and injection coding Strong analytical skills for reviewing, analyzing and interpreting complex medical information Effective leadership and team management skills Knowledge of healthcare laws and regulations – HIPAA, CMS Ability to work seamlessly between multiple different applications and programs
This job description is not intended as an all-inclusive list of responsibilities that may be assigned and is subject to change based on the needs of the organization. Seniority level
Seniority level Mid-Senior level Employment type
Employment type Full-time Job function
Job function Health Care Provider Industries Hospitals and Health Care Referrals increase your chances of interviewing at Rice Community Health by 2x Get notified about new Medical Coder jobs in
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Lead Medical Coder - Clinic
Department:
Lyons Family Care
Reports To:
Clinic Director / Clinic Manager
FLSA:
Non-Exempt
Job Summary
As the Lead Medical Coder, you will play a crucial role by analyzing patient records to adhere to internal policies and processes that are consistent with coding guidelines and reimbursement policies. Lead Medical Coder’s purpose is to help to improve the accuracy, integrity and quality of patient data, ensure minimal variation in coding practices, and improve the quality of the physician documentation within the body of the medical record to support code assignments. As Lead Medical Coder, your leadership will be vital in mentoring and overseeing other clinic coders.
Essential Functions
Handles complex coding cases and ensures compliance with coding standards; Stays updated on changes and revisions to codes to ensure accurate and compliant coding. Reviews medical record thoroughly to ensure charges, diagnoses/procedures and appropriate modifiers are on accounts. Perform research, run various reporting and assist with general coding as needed and as requested. Query appropriate physician on incomplete, missing or vague documentation. Codes all diagnoses/procedures in accordance to ICD-10-CM, ICD-10-PCS and CPT coding guidelines and payer contracts. Assists the director with state requirements and reports. Responsible for Chargemaster maintenance Works coding issues and denials sent back from billing Provide training and support to other coders. Must possess the ability to multitask and maintain accuracy and coding productivity standards. Oversee coding-related components of the month-end and year-end closing processes for the clinics, ensuring all charges are captured, coded, and finalized within designated timeframes. Collaborate with billing and finance teams to reconcile encounters, address outstanding documentation issues, and ensure accurate revenue reporting. Ensure coders meet deadlines for finalizing coding prior to close and troubleshoot any barriers to timely clinic closeouts.
Qualifications
Minimum Education High School or equivalent Associates degree in Health Information Technology preferred. RHIT or coding certification through AHIMA or AAPC Minimum Experience Three years coding experience preferred Knowledge of CPSI / Trubridge and eClinicalWorks
Proficiency: Outpatient, ancillary coding Infusion and injection coding Strong analytical skills for reviewing, analyzing and interpreting complex medical information Effective leadership and team management skills Knowledge of healthcare laws and regulations – HIPAA, CMS Ability to work seamlessly between multiple different applications and programs
This job description is not intended as an all-inclusive list of responsibilities that may be assigned and is subject to change based on the needs of the organization. Seniority level
Seniority level Mid-Senior level Employment type
Employment type Full-time Job function
Job function Health Care Provider Industries Hospitals and Health Care Referrals increase your chances of interviewing at Rice Community Health by 2x Get notified about new Medical Coder jobs in
Lyons, KS . Workforce and Apprenticeship Specialist (STF3343)
Compliance Administrative Assistant - HUD & EIV
Kansas, United States $20.00-$22.00 2 weeks ago Administrative Assistant Information Technology (STF3226)
Administrative Assistant (Part-Time) – John F. Kennedy Library (STF3039)
Administrative Assistant – Information Technology Services (STF3226)
Administrative Assistant- First Wealth Manage
We’re unlocking community knowledge in a new way. Experts add insights directly into each article, started with the help of AI.
#J-18808-Ljbffr