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Lead Coding Specialist

Atlantic Health System · Удалённо · United States

# Lead Coding Specialist **Atlantic Health System** · United States · `Remote` · `Full Time` 💼 **Уровень роли:** `Senior` 🕒 **Статус:** *Опубликовано: сегодня* · *Источник: Himalayas (JSON API)* --- ### Top Skills & Match 🎯 **Ключевой стек роли:** `[Health-Information-Management-Specialist]` `[HIM-Coder]` `[Medical-Coder]` `[Medical-Records-Coder]` `[Lead-Coding-Specialist]` `[Lead-Coder]` `[Medical-Coding-Lead]` `[Healthcare-Coding-Lead]` `[Coding-Lead]` `[Remote-Senior-Coding-Specialist]` `[Risk-Adjustment-Coding-Lead]` --- ### About the Role A Lead HIM Coder assists in managing the coding team by educating staff and monitoring all coding functions and w ork queues. They audit records to improve the accuracy and quality of coding and charging within the team. Serves as a liaison with CDI and physicians to enhance documentation, optimize reimbursement, and support efficient AR performance. Principal Accountabilities: • Manages multiple EPIC work queues (WQs) to ensure timely billing and resolution of all encounters within 2–3 days. • Monitors and audits coder performance, ensuring >/= 95% coding and DRG accuracy through regular reviews, meetings, and feedback sessions. • Educates and mentors coding staff, providing onboarding for new coders, daily coaching, and monthly team meetings to maintain accuracy and compliance. • Acts as a liaison between the Coding Division, CDI Program, physicians, and Revenue Integrity to improve documentation, query processes, and charge accuracy. • Conducts daily coding audits and reviews all PSI, Vizient, and 3M data to validate coding accuracy, case quality, and performance metrics. • Oversees the DRG validation and denial management program, resolving coding disputes and ensuring documentation supports accurate reimbursement. • Applies national coding standards and metrics, maintaining expertise in SOI/ROM, AHRQ PSI criteria, NTAP cases, and Medicare reimbursement systems. • Stays current on industry updates, including Medicare PPS changes, Coding Clinic guidance, and emerging trends such as SDOH and C OVID-related coding. • Drives process improvement initiatives, collaborating with CDI, Quality, and ER leaders to enhance documentation, reduce denials, and improve national quality ratings. • Performs coding duties as needed, supporting workload balance, reducing discharged-not-billed (DNB) cases, and meeting monthly performance goals Originally posted on Himalayas

Наблюдалась 2026-10-04, впервые 2026-10-04, источник — Himalayas (JSON API).

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