Medical Billing Lead / Medical Coding Lead

CRH Healthcare, headquartered in Atlanta, GA, is a patient-focused operator of urgent care centers in Alabama, Georgia, Florida, and Maryland. CRH’s centers are open seven days a week and provide walk-in care for injury, illness and minor emergencies as well as family care to keep both parents and kids healthy.

CRH is currently seeking a Medical Billing Lead / Medical Coding Lead for its Billing Department in Fayetteville, GA. This position will report to the Billing Office Manager and will be responsible for leading the billing team. This position also works closely with the Director of Billing Operations on technical billing and coding issues and initiatives.

Company Perks and Benefits:

• On-the-job Training
• Employee flat-rate medical services at CRH-affiliated clinics
• Medical, Dental, Vision Insurance
• 401(K) Match
• Flexible Work Schedules
• Generous PTO Plan
• Employee Assistance Program
• Complimentary Financial Planning
• Collaborative Work Environment
• Growth Opportunities
• Annual Merit Increases
• Employee Referral Bonuses
• Hybrid Remote

The Coding Team Lead works directly with the Coding and Billing Specialists to ensure the coding and abstracting of medical records information are conducted in an accurate, comprehensive, and efficient manner. Experienced in all aspects of both diagnostic and procedural Medical Coding and billing. This role reports to the Revenue Cycle Supervisor, up to the VP of Billing Operations.

Qualifications and Skills
Any combination of training, education and/or experience which provide the knowledge, skills and abilities and required conditions of employment listed below is qualifying.

• A minimum of an Associate degree in a related field is preferred. Sufficient work experience in health information management with an emphasis in Medical Coding may substitute and/or augment a degree.
• If certified as a CPC/CCS: requires two years of coding experience in the outpatient setting.
• Advanced principles and practices of medical terminology, anatomy, and physiology, as well as the states, sequence, progression, and description of diseases as they apply to medical record coding and abstraction.
• Advanced elements of ICD-10, CPT, and HCPCS Level II Coding Systems.
• Great communication skills
• Great work ethic; will go above and beyond to exceed internal customer expectations.
• Outstanding interpersonal skills and great team player.
• Must be able to work independently with a high degree of self-initiative.
• Excellent problem-solving abilities.
• Knowledge of standard MS Office products.
• Ability to work well under pressure and adapt to changes in project priorities.

Job Responsibilities and Duties

• Responsible for the oversight of staff; positive coaching.
• Assists with interviewing and hiring of coding team staff.
• Assists with quality and staff productivity monitoring.
• Maintains current and thorough knowledge and understanding of current coding schemes, regulatory rules, guidelines, and updates as well as a thorough knowledge of current database operations, processes, problems, and changes.
• Monitoring and notifying clients of new, revised, or deleted codes that are released by CMS, the AMA and NCHS
• Serving as an internal and external resource regarding coding and reimbursement information such as payment methodologies, claims processing requirements, and payer coverage guidelines
• Assessment and organization and monitoring of daily routine workloads including handling staff schedule changes ensuring no negative impact to workflow including but not limited to:
• Acts as knowledge resource for coding staff as well as other departments/offices within CRH as needed.
• Audit outpatient medical records to verify the appropriateness.
• Helps to develop and maintain associated policies and procedures, and reports for tracking/trending staff performance and other reports as required.
• Interacts with internal providers and external facilities to procure documentation for coding claims as necessary.
• Participates in problem resolution; troubleshoots and/or contacts Information Technology support to report problems with hardware or software to expedite problem resolution.
• Promotes teamwork in the area and customer relationships through prompt and courteous service.
• Work with physicians and others to ensure complete and accurate information and optimal reimbursement based on coding and abstracting of medical records.
• Contributes to team effort by accomplishing individual productivity related results.
• Steps in to cover team members and/or work special projects.
• Prepares and enhances training materials and conducts training sessions for coding and charge entry specialists as well as providers.