Help Ensure The Accuracy Behind Exceptional Patient Care! Join our Revenue Integrity team and play a key role in supporting quality patient care through accurate coding, regulatory compliance, and revenue cycle excellence. As a Lead Revenue Integrity Coding Specialist, you'll combine your advanced coding expertise with leadership responsibilities to help ensure accurate reimbursement, mentor team members, and promote continuous quality improvement across the organization. If you enjoy solving complex coding challenges, collaborating across departments, and serving as a trusted resource for your team, we'd love to hear from you. Key Responsibilities
Assign and sequence ICD-10-CM and CPT-4 codes for a variety of patient encounters, including inpatient, outpatient, ambulatory, and emergency department records. Accurately code advanced and complex procedural accounts with multiple components. Review medical records for documentation deficiencies and ensure diagnoses and procedures are accurately reflected according to coding guidelines. Review charges for accuracy, verify medical necessity, and collaborate with providers and departments to obtain complete supporting documentation. Perform timely follow-up on accounts requiring additional documentation or clarification. Complete charge capture, data entry, and clinical data abstraction while ensuring regulatory, compliance, and reporting requirements are met. Verify patient account information, encounter types, and demographic data while coordinating corrections with Patient Access when needed. Maintain compliance with all federal, state, and organizational coding standards and regulations. Meet established productivity and quality benchmarks while maintaining a high level of coding accuracy. Participate in continuing education and stay current on coding guidelines, regulations, and industry best practices. Support departmental quality improvement initiatives and identify opportunities for process enhancement.
Leadership Responsibilities As a Lead Revenue Integrity Coding Specialist, you may also:
Create work schedules and assign daily work responsibilities. Train, mentor, and support new and existing team members. Coordinate competency assessments and required employee training. Serve as a subject matter expert and primary resource for coding questions and workflow guidance. Assist with interviewing and onboarding new employees. Lead or coordinate coding compliance, auditing, and quality improvement initiatives. Perform additional leadership-related responsibilities as assigned by management.
Required Qualifications
4+ years of coding experience in an acute care or medical office setting. 2+ years of experience utilizing electronic medical record (EMR) systems for data entry and retrieval. Nationally recognized coding certification required (such as CCS, CPC, or AAPC). Other specialty coding certifications may be considered. Thorough knowledge of ICD-10-CM, CPT-4, coding guidelines, reimbursement methodologies, and industry best practices. Strong understanding of anatomy, physiology, medical terminology, health information management, and coding classification systems. Proficiency with Microsoft Office Suite and the ability to quickly learn additional software applications. Commitment to maintaining patient confidentiality and compliance with all applicable regulations.
Preferred Qualifications
Previous experience serving as a lead, mentor, trainer, or subject matter expert within a coding or revenue integrity environment. Experience supporting coding compliance, quality assurance, auditing, or process improvement initiatives. Experience coding across multiple specialties and patient settings.
Additional Skills & Attributes
Exceptional attention to detail with a strong commitment to coding accuracy. Excellent organizational and time management skills with the ability to prioritize competing responsibilities. Strong analytical and critical thinking skills. Excellent verbal and written communication skills. Ability to work both independently and collaboratively in a team-oriented environment. Professionalism, discretion, and sound judgment when handling sensitive and confidential information. Self-motivated with a continuous improvement mindset and dedication to lifelong learning. Reliable attendance and punctuality in accordance with departmental scheduling expectations.
This position offers full-time remote work. To be eligible, you must reside in one of the following states:
Arizona Arkansas Colorado Florida Hawaii Idaho Illinois Indiana Kansas Michigan Missouri Montana Minnesota North Carolina Ohio Oregon Tennessee Texas Virginia Washington
Logan Health takes great pride in offering its employees a comprehensive benefits package that includes:
Health, Dental, and Vision insurance 401(k) with generous matching Life and disability insurance options Critical Illness and Voluntary Accident options Paid time off, Holiday pay, and Illness bank Tuition Reimbursement Program Employee referral bonuses Employee Assistance Program (EAP) Wellness coaching, incentives, and more Discounted Logan Health Fitness Center membership Free parking