Coding Team Leader
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Job Description
Coding Team Leader for US Anesthesia Partners overseeing medical record documentation and coding processes. Mentoring coders, collaborating with clinicians, and ensuring compliance with coding guidelines.
Responsibilities:
- Serves as the primary source for coder inquiries.
- Reviews documentation for appropriate required elements such as attestations, signatures, dates, etc.
- Abstracts and codes surgical procedures from all sections of CPT and cross walks surgical codes to ASA.
- Applies appropriate modifiers.
- Codes ICD-10.
- Abstracts anesthesia times and events.
- Identifies and assigns care team providers.
- Reviews for medical direction.
- Meets team KPIs to include daily production and quarterly coding audit score requirements.
- Works cases that have been escalated by coding staff and provides feedback on escalated cases.
- Analyzes data and provides required reports for management as requested.
- Works complex edits and denials to include concurrency and provider time conflicts.
- Assists coders with quarterly audit findings and rebuttals.
- Collaborates on playbook development and updates (SOPs/pathways).
Requirements:
- High school diploma or equivalent required.
- Medical records experience required.
- Ability to self-motivate new projects.
- Ability to work independently.
Benefits:
- This position is eligible for a quarterly bonus.
- Bonuses are not guaranteed and are awarded based on company and individual performance.
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