Coder - Lead
Core
Lead a coding team in inpatient/outpatient settings to ensure operational functions, coding quality, compliance, and staff training.
Role type
Lead Health Information Management (HIM) Coder
Builds
Compliant medical coding for reimbursement and regulatory adherence
Domain
Healthcare administration / Revenue Integrity
Deliverable
production ML models | product features | dashboards & analysis | research | client delivery | infrastructure | physical/clinical work
Required skills
ICD-10-CM, CPT/HCPCS, PCS coding; DRG/APC/E-APG reimbursement methodologies; audit processes; workflow efficiency analysis; staff mentoring and training; complex case review; claim edit and denial resolution
Preferred skills
State/Federal/payer-specific regulations knowledge; EHR and coding systems proficiency (Care Connect, UDS, Clintegrity); problem-solving in documentation gaps
Technologies
Care Connect, UDS, Clintegrity
Responsibilities
Monitor coding work queues for productivity and turnaround times; provide technical guidance on workflow improvements and denial prevention; mentor and train coding staff; collaborate with Patient Financial Services and CDI on reimbursement issues; perform hands-on coding for complex or high-risk cases; formulate compliant coding queries for incomplete documentation
Seniority
Senior, hands-on IC with leadership duties