IP Medical Coder Team Lead

Overview

• Checks and sequences the most accurate ICD-9/ICD-10-CM, CPT, HCPCS, DRG, and other codes for diagnoses and procedures based on documented information; ensures final diagnoses and operative procedures stated by the physician are valid and complete.
• Abstracts necessary information from health records to identify secondary complications and co-morbid conditions.
• Evaluates records for documentation consistency and adequacy; ensures final diagnosis accurately reflects care and treatment rendered.
• Computes and assigns correct DRG coding for all inpatient cases.
• Provides training and guidance to other coders/Medical Records Technicians, updating them on new coding rules and regulations as needed.
• Analyzes doctors’ documentation to ensure appropriate Evaluation & Management (E&M) levels are assigned using correct CPT codes.
• Ensures coding compliance with HAAD guidelines and regulations.
• Provides feedback to doctors regarding coding errors or oversights.
• Keeps updated with the latest coding versions and HAAD coding directives.
• Performs miscellaneous job-related duties as assigned.
• Executes any other duties assigned by the HOD within the scope of the job title.