Coding Team Lead – Medical Coding QA

Job Title: Coding Team Lead – Medical Coding QA (RCM)

Job Description:

• Provide limited operational oversight and quality support to the production coding team

• Maintain an active production coding workload

• Support coding accuracy, consistency, and workflow stabilization

• Serve as first-line quality and escalation resource

• Assist with audits and coder feedback

• Defer final coding policy interpretation, provider education, and corrective action plans to RCM leadership

Responsibilities:

• Perform production medical coding while supporting quality and audit initiatives

• Conduct routine internal quality reviews, including spot checks and trend-based sampling

• Review and validate modifier usage and E/M level assignments

• Review provider documentation for quality, completeness, and accuracy

• Identify documentation insufficiencies and incorrect ...