Lead Assistant Manager-Auditors-Surgery
Medical Coding Team Lead - Surgery & Payment Integrity is responsible for overseeing a team of medical coding specialists to ensure accurate, compliant, and timely auditing of surgical procedures across multiple specialties. This role demands strong technical expertise in CPT, ICD-10, and HCPCS coding, particularly within surgery and complex procedure coding domains such as cardiovascular, IVR, and general surgery
Team Leadership & Management: Lead, mentor, and manage a team of medical coding specialists to deliver high-quality auditing outcomes. Foster a collaborative, accountable, and performance-driven team culture.
Quality & Compliance: Ensure all coding and auditing activities adhere to the latest industry standards, payer guidelines, and regulatory requirements. Conduct regular audits to maintain accuracy and compliance.
Training & Development: Provide continuous education, coaching, and feedback to the coding team to enhance their technical skills and domain expertise.
Workflow Oversight: Manage coding workflow, prioritize daily assignments, and monitor progress to ensure timely completion of audit deliverables and achievement of productivity and accuracy targets.
Regulatory Updates: Stay abreast of changes in coding guidelines, payer policies, and CMS updates. Effectively communicate these updates and their operational impact to the team.
Cross-Functional Collaboration: Partner with analytics, repricing, compliance, and quality departments to resolve coding discrepancies, streamline processes, and enhance overall audit efficiency.
Performance Monitoring: Track key performance indicators (KPIs), identify performance gaps, and develop improvement strategies to boost team productivity and quality outcomes.
Payment Integrity: Apply strong knowledge of payment integrity principles to identify claim errors, documentation deficiencies, and missed revenue opportunities, ensuring optimal claim accuracy and reimbursement.
Subject Matter Expertise: Act as a coding and auditing expert for surgical specialties, supporting physicians, clinical teams, and business stakeholders in achieving accurate and compliant documentation and coding practices
- Medical Coding or Auditing experience in Surgery Coding (outpatient, Prof, APC, ASC etc.)
- CPC, COC or other AAPC/AHIMA coding certification
- Open for an IC role (Independent Contributor)
- Auditing experience - desired
- Radiation Oncology coding/auditing experience - desired
- 10+ years relevant coding experience
NA
NAA
- Understand the payer process of Surgery, APC, Outpatient.
- Application of coding and clinical information.
- Provide inputs and solutions to automatically recognize and extract data from medical documents for proper coding and to facilitate auditing.
- Prompt response to all the emails and requirements.
- Reporting to the manager as appropriate.
- Excellent project management skills, multi-tasking, training skills.
- Strong PC skills; Excel, Word, PowerPoint and internet-based programs
- Excellent verbal and written communication
- Experience in Strategic management
- Perform analysis of benchmarking.
- Research updated coding information
- Research coding issues that arise
- Maintain knowledge of Surgery coding and clinical concepts.
- Flexibility
