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Lead Coding Specialist
CentraState Healthcare System. Manage multiple EPIC work queues to ensure timely billing and resolution of all encounters within 2–3 days .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in medical coding, including DRG validation, coding audits, and compliance with national coding standards. Proven ability to mentor coding staff and drive process improvements to enhance documentation and reduce denials.
Highest-signal resume keywords
Certified Coding Specialist (CCS)Coding AuditsDRG ValidationMedicare Reimbursement SystemsProcess Improvement Initiatives
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Medical CodingCoding AccuracyCharge AccuracyDocumentation ImprovementCoding StandardsDenial ManagementPerformance MonitoringData AnalysisCoding EducationCoding Dispute Resolution
Soft Skills
MentoringCoachingCollaborationCommunicationLeadership
Tools & Technologies
EPICVizient3MAHRQ PSISOI/ROM
Certifications & Qualifications
Certified Coding Specialist (CCS)Certified Coding Associate (CCA)Physician-Based Certified Coding Specialist (CCS-P)
Industry Keywords
HealthcareCoding DivisionRevenue IntegrityQuality RatingsMedicare PPSSDOH CodingCOVID-Related Coding
About the role
Key responsibilities & impact- Manage multiple EPIC work queues to ensure timely billing and resolution of all encounters within 2–3 days
- Monitor and audit coder performance, ensuring at least 95% coding and DRG accuracy
- Educate and mentor coding staff, including onboarding, daily coaching, and monthly team meetings
- Liaise with the Coding Division, CDI Program, physicians, and Revenue Integrity to improve documentation, query processes, and charge accuracy
- Conduct daily coding audits and review PSI, Vizient, and 3M data
- Oversee DRG validation and denial management, resolving coding disputes and supporting accurate reimbursement
- Apply national coding standards and metrics, including SOI/ROM, AHRQ PSI criteria, NTAP cases, and Medicare reimbursement systems
- Stay current on Medicare PPS changes, Coding Clinic guidance, SDOH coding, and COVID-related coding
- Drive process improvement initiatives with CDI, Quality, and ER leaders to enhance documentation, reduce denials, and improve national quality ratings
- Perform coding duties as needed to balance workload, reduce discharged-not-billed cases, and meet monthly performance goals
Requirements
What you’ll need- High School Diploma or equivalent and Medical Coding Education
- Certified Coding Specialist (CCS)
- Five (5) years progressive coding experience
- Associate or bachelor's degree in a healthcare related field preferred
- More than Seven (7) years of coding experience in an academic medical center preferred
- Physician-Based (CCS-P) or a Certified Coding Associate (CCA) preferred
Benefits
Comp & perks- Medical, Dental, Vision, Prescription Coverage (22.5 hours per week or above for full-time and part-time team members)
- Life & AD&D Insurance
- Short-Term and Long-Term Disability (with options to supplement)
- 403(b) Retirement Plan: Employer match, additional non-elective contribution
- PTO & Paid Sick Leave
- Tuition Assistance, Advancement & Academic Advising
- Parental, Adoption, Surrogacy Leave
- Backup and On-Site Childcare
- Well-Being Rewards
- Employee Assistance Program (EAP)
- Fertility Benefits, Healthy Pregnancy Program
- Flexible Spending & Commuter Accounts
- Pet, Home & Auto, Identity Theft and Legal Insurance