Lead HIM Coder

Role Overview

• Perform daily work queue (WQ) management, ensuring timely and accurate progression of accounts through the coding workflow. Monitor and report daily coding volumes, proactively identifying risks that could impact bill hold deadlines and communicating findings to key stakeholders.
• Claim Edit for coding Resolution
• Denial Review and resolution
• Monitor coding workflow and identify potential bottlenecks.
• Oversee coding schedules and distribute workload within the work queues to ensure balanced assignments among team members and bill hold goals are met within each service.
• Work with the Revenue Cycle Management Department to resolve billing and patient registration issues, ensuring seamless data flow.
• Partner with the Charge Master Team to add new charge codes to the ED preference lists.
• Collaborate with Physician Groups to process requests for new provider enrollments in EPIC.
• Report and collaborate with client leadership to resolve technical workflow issues, including WQ, EPIC, and 3M.
• Report, open and escalate tickets as needed, track outcomes, and communicate resolutions to the coding team.
• Review and address email requests from client staff related to:
• Coding and charge corrections
• Denials and edits
• Hold issues and trauma reviews
• Ensure resolution is communicated effectively to all stakeholders.
• Coordinate access and deactivation requests for client systems as needed.
• Follow up to ensure timely access for new users and deactivate access for those no longer requiring it.
• Provide and communicate access instructions for new users.
• Supervise and delegate coding tasks to a team of medical coders.
• Address coding errors and resolve discrepancies, and process rebills when necessary.
• Facilitate training for coders on coding workflows and/or updates

Requirements

• Extensive hands-on experience with EPIC systems, including configuration, troubleshooting, and workflow optimization.
• Serve as the primary point of contact for EPIC system troubleshooting and resolution, addressing user-reported issues in a timely and efficient manner.
• Be able to analyze, diagnose, and resolve system errors, workflow inefficiencies, and integration challenges within EPIC.
• High School Diploma or GED required.
• Coding Certification from the American Health Information Management Association (AHIMA) required. Preferred: RHIA, RHIT, CCS – AHIMA credentials
• Three to Five (3-5) years of coding experience
• For remote work, this position requires that you provide a high-speed internet connection, subject to applicable expense reimbursement requirements (if any), and a work environment free from distractions.

Benefits

• Medical
• Dental
• Vision
• 401k Savings Plan w/match
• 2 weeks of paid time off
• Paid Holidays
• Floating Holidays
• Free CEUs every year
• Stipend provided to assist with education and professional dues (AHIMA/AAPC)
• Equipment: monitor, laptop, mouse, headset, and keyboard
• Comprehensive training led by a credentialed professional coding manager
• Exceptional service-style management and mentorship (we’re in this together!)