Job Summary
Brief Description
Overview: A Surgery Specialty Coding Leader provides strategic and operational leadership for surgical medical coding functions, ensuring accurate assignment of ICD-10-CM, CPT and HCPCS codes for surgical services. This role is responsible for driving coding quality, regulatory compliance, productivity, revenue integrity, and team performance across multiple surgical specialties.
Key Responsibilities
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Lead and manage surgical coding teams across specialties such as OB GYN Surgery, General Surgery, Orthopedics, Neurosurgery, Cardiovascular, Urology, ENT, and Plastic Surgery.
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Ensure accurate coding and documentation review in accordance with coding guidelines, payer requirements, and regulatory standards.
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Monitor coding quality, productivity, accuracy, and turnaround time metrics.
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Conduct audits and quality reviews to identify coding opportunities and areas for improvement.
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Collaborate with physicians, clinical documentation specialists, revenue cycle teams, and operational leaders to resolve documentation and coding issues.
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Provide education and mentorship to coding staff regarding coding updates, compliance requirements, and specialty-specific coding practices.
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Support denial prevention and appeals through coding expertise and root-cause analysis.
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Drive process improvement initiatives to enhance coding efficiency and revenue capture.
Preferred Skills
Leadership Objectives & Competencies
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Ensure consistent delivery of high-quality surgical coding services and maintain compliance.
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Optimize reimbursement through accurate code assignment and strengthen capability via coaching.
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Advanced Surgical Coding Expertise (ICD-10-CM, ICD-10-PCS, CPT, HCPCS).
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Revenue Cycle Management, Audit Management, and Physician Query workflow implementation.
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Immediate joiners are highly preferred.
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