HB Outpatient Coder Lead

Job Summary:

Responsible for coordinating daily outpatient coding workflows and serving as a technical lead for coding accuracy and compliance. Provides advanced coding expertise, mentors staff and supports training and quality initiatives. Collaborates with providers, auditors, and revenue cycle teams to resolve documentation and coding issues.

Essential Functions:

• Reviews and performs coding for complex or high-priority outpatient cases.
• Plans and prioritizes work to meet commitments aligned with organizational goals.
• Tracks and analyzes coding-related denials and supports the appeal process.
• Assigns and monitors daily coding work queues to ensure productivity and accuracy.
• Performs coding for complex outpatient encounters and reviews difficult cases.
• Serves as subject matter expert for outpatient coding guidelines and payer rules.
• Mentors and trains coding staff, providing feedback and technical guidance.
• Assists supervisors in conducting quality reviews and preparing performance reports.
• Collaborates with providers and departments to address documentation issues.
• Tracks and reports audit outcomes and coding quality metrics.
• Performs other duties as assigned.

Education Requirement:

High school diploma or equivalent; Associate's or Bachelor's in HIM preferred

Experience Requirement:

7+ years of outpatient coding experience with demonstrated leadership or mentoring responsibilities An equivalent combination of education and experience may be considered. All experience must be paid and in the same related field. Part-time and PRN experience will be prorated based on hours worked per week. Volunteer work and internships for academic credit are not counted.

Certifications & Licensures:

RHIA Certification, CPMA, Certified Coding Specialist (CCS) ,Certified Professional Coder (CPC), Certified Professional Coder Apprentice (CPC-A), Certified Coding Associate (CCA), Certified Coding Specialist - Physician-based (CCS-P), Registered Health Information Technician (RHIT), or equivalent required.

Working Conditions:

A. Lifting, pushing, and/or pulling objects up to 50lbs:2. Occasional (