Medical Coder

Job Description

Job SummaryWe are seeking an experienced and detail-oriented Medical Coding Team Lead specializing in Evaluation and Management (E/M) and Surgical Coding. The ideal candidate will be responsible for leading a team of medical coders, ensuring coding accuracy, compliance with regulatory standards, and meeting productivity targets. This role includes training, auditing, process improvement, and acting as a liaison between coders, providers, and other departments.Key Responsibilities
• Lead and manage a team of medical coders focused on E/M and surgical coding.
• Assign workloads, monitor productivity, and ensure timely completion of coding tasks.
• Perform coding audits to ensure accuracy, compliance (CPT, ICD-10-CM, HCPCS, CMS guidelines), and adherence to documentation standards.
• Provide feedback, mentoring, and training to team members on complex coding issues and updates.
• Stay current with changes in coding guidelines, payer policies, and industry best practices.
• Collaborate with billing, compliance, and clinical teams to resolve coding discrepancies or denials.
• Ensure team compliance with HIPAA and other relevant privacy and security regulations.
• Participate in hiring, onboarding, and performance evaluations of coding staff.
• Report performance metrics, audit results, and productivity updates to leadership.
• Identify and implement process improvements to increase coding accuracy and efficiency.
Qualifications
• Education: Associates or Bachelors degree in Health Information Management or a related field (preferred).
• Certifications: CPC, CCS, or equivalent certification required. Specialty certification in E/M or surgical coding (e.g., CPC-P, COC) is a plus.
• Experience:
  • Minimum of 5 years of hands-on medical coding experience with a focus on E/M and surgical procedures.
  • Minimum of 12 years in a lead or supervisory role.
• Skills:
  • In-depth knowledge of CPT, ICD-10-CM, and HCPCS Level II codes.
  • Strong understanding of CMS, NCCI edits, payer-specific guidelines, and documentation requirements.
  • Excellent analytical, problem-solving, and organizational skills.
  • Proficiency with EMR/EHR systems and coding software (e.g., EPIC, 3M, EncoderPro).
  • Strong verbal and written communication skills.
  • Ability to train and mentor junior coders effectively.

Keyskills :
icd-10-cme/m codinghcc codinghealthcare