Job Description

• The Coding Team Lead will organize and co-ordinates coding process within the Hospital departments and HIS     system. The TL will be efficiently and effectively communicating the goals, standards and needs of the clinical coding section.

RESPONSIBILITIES

• Ensures work is performed within the required technical and patient confidentiality standards
• Promote quality and cost-effective interventions and outcomes
• Record cases information, complete accurately all necessary forms and produce statistical reports
• Develop effective working relations and provide feedback to administrative, medical and RCM team throughout the entire case management process
• Handling case assignments, draft service plans, review case progress and determine case closure 
• Evaluating healthcare treatments and negotiating the most cost effective options available to manage DRG
• Assist in timely discharge
• Evaluate the rigor of documentation and code assignment (during IP stay with doctors) to ensure fair reimbursement
• Evaluate and develop training sections to avoid rejections
• Rejection analysis, management and coordination with responsible departments in developing collaborating strategies.
• In coordination with the Revenue Cycle Manager implements standard operating procedures and guidelines for the coding section.
• Provides leadership and guidance to staff when required to address issues or concerns.
• Train the new and existing coding staff on coding expectations and meeting goals related to both quality and productivity which helps in upgrading the services’ codes and subsequently higher revenue.
• Act as a mentor and resource to Coding Team members.
• Monitor tasks to improve billing practices and increase revenue
• Audit both IP and OP charts on a regular basis and share audit results with the team members and ensure that performance improvement plans are implemented. Submit audit report on a monthly basis to the corporate audit team
• Attends Training and Meetings to receive updated billing and coding information
• Assess /determines staff level and coordinates with Revenue Cycle Manager to meet defined KPIs.
• Reports all staffing deficiencies and disciplinary issues to Revenue Cycle Manager by providing all documentation to ensure proper review and action.
• Ensures adherence to objectives, operating policies and procedures and strategic action plans for achieving goals.
• Provides leadership and motivation by addressing clear expectations, communicates specific performance feedback to Revenue Cycle Manager to ensure timely and thorough performance reviews using internal measurement/monitoring standards.
• Communicates coaching needs for staff who failed to perform and deliver the prescribed and committed level of performance output and standards to the Revenue Cycle Manager

QUALIFICATIONS

• Bachelor or any other degree in Paramedical with coding certification from AAPC/CPC/AHIMA with DRG coding and EMR knowledge preferred.
• Minimum 5 years of experience using the ICD and CPT coding and must have proven track record in supervising the day- to-day functions of Medical coding Team
• Strong supervisory competencies in the areas of leadership and team development, coaching, mentoring and situational assessment skills.
•  Knowledge in using computer and related software applications and proficient in using MS office programs.
•  Supervisor judgment and decision making skills
• Communication analytical and interpersonal skills as applied to interaction with co-workers, supervisor and customers and capability to interact with all levels in the organization.
• Strong ethics and high level of personal and professional integrity.