Lead Coding Specialist

Conducts regular monitoring to determine accuracy of medical record coding/abstracting and DRG assignment. Maintains records of audits and shares result with coders as a teaching mechanism. Monitors and adjusts workflow to achieve optimum turnaround time for coding activities.

Functions as coding resource person both within and outside the Health Information Management Department. Provides coding information/advice upon request. Codes diagnoses and procedures for all medical records according to ICD-9-CM and CPT-4 guidelines and hospital modifications.

Follows procedures mandated by government and other payers for completion of coded data. Verifies/abstracts demographic, medical, and statistical information into computer from patient records. Orients/trains new employees in coding/abstracting procedures.

Monitors performance and provides supervisory feedback to the respective Director of Coding. Assists with general department orientation. Reviews all PRO and other agency coding referrals and suggestions appropriate responses.

Consults with physicians and /or Clinical Documentation Improvement Specialists on questionable cases. Utilizes Epic's electronic health record and 3M's Coding and Reimbursement system encoder. Requirements Educational Requirements Degree/Diploma Obtained Program of Study Required/ Preferred and/or Associate's Applied Science or Bachelor's Science Experience Requirements Minimum Years Required Area of Experience Required/ Preferred and/or 5 Years Inpatient Acute Care Coding Required and Supervisor/Management Preferred State of Florida Licensure Requirements Licenses Required/ Preferred and/or Not Required Certifications/Registration Requirements Certificates/Registrations Required/ Preferred and/or CCS (Certified Coding Specialist) Required or RHIT (Registered Health Information Technician) Required or RHIA (Registered Health Information Administrator) Required US:FL:Cape Coral