HB Outpatient Coder Lead at King's Daughters – Ashland, Kentucky

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 (<10% of the time)

B. Lifting, pushing, and/or pulling objects over 50lbs:1. Never

C. Standing or walking with objects up to 10lbs:3. Intermittent (10% - 50% of the time)

D. Standing or walking with objects up to 25lbs:2. Occasional (<10% of the time)

E. Sitting at the computer workstation for extended periods:3. Intermittent (10% - 50% of the time)

F. Risk of back injury from moving, lifting or positioning patients, equipment, or materials:2. Occasional (<10% of the time)

G. Repetitive motion:3. Intermittent (10% - 50% of the time)

H. Working at heights above 4 feet:1. Never

I. Working in confined spaces:1. Never

J. Risk of injuries from use of equipment on the job:2. Occasional (<10% of the time)

K. Job-related travel:2. Occasional (<10% of the time)

L. Loud noises:1. Never

M. Temperature extremes:1. Never

N. Hazardous chemicals and fumes including waste:2. Occasional (<10% of the time)

O. Radiation:1. Never

P. Burns:1. Never

Q. Cuts/Punctures:2. Occasional (<10% of the time)

R. Bloodborne/airborne pathogens:2. Occasional (<10% of the time)

S. Recombinant DNA or viral vectors:1. Never

T. Combative/violent people:1. Never

U. Animal handling (including carcasses):1. Never

V. Please specify other(s) and amount of exposure (i.e. Occasional, Intermittent or Regular): N/A

Physical Demands:

This position requires intermittent sitting at a computer workstation for extended periods of time; performing tasks with repetitive motions (such as typing); intermittent standing or walking with objects weighing up to 10 pounds; occasional standing or walking with objects weighing up to 25 pounds; and occasional lifting, pushing, or pulling objects weighing up to 50 pounds.