Perform accurate CPT / ICD-10-CM coding with appropriate modifier usage Review and analyze denied claims and identify root causes Initiate outbound calls to provider offices for denial clarification and resolution Document call outcomes and update claim
Team & Operations Management: Supervise and manage the daily activities of the surgery coding and audit teams, including in-house and contract auditors. Allocate workload, monitor performance, and ensure timely completion of assigned tasks in alignment with project timelines.
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Medical Coding Team Lead – Surgery & Payment Integrity is responsible for overseeing a team of medical coding specialists to ensure accurate, compliant, and timely auditing of surgical procedures across multiple specialties. This role demands strong
Perform accurate CPT / ICD-10-CM coding with appropriate modifier usage Review and analyze denied claims and identify root causes Initiate outbound calls to provider offices for denial clarification and resolution Document call outcomes and update claim
Skills Required Strong analytical and critical-thinking skills Excellent medical record review and interpretation skills Effective written and verbal communication Ability to work independently and manage multiple priorities Knowledge of denial management and appeals processes Strong problem-solving
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