- 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.
- 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
- 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.
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