senior clinical coding team leader
Health Business SolutionsJob Description
Key Responsibilities:
Lead and mentor clinical coding analysts, serving as the primary escalation point for complex, high‑risk, or high‑value coding and denial cases
Provide functional leadership to ensure coding quality standards are consistently met across teams
Support onboarding, knowledge transfer, and ramp‑up activities for new hires and expansion waves
Partner with training and QA teams to identify skill gaps and drive targeted education initiatives
Oversee analysis and validation of diagnosis (ICD‑10‑CM), procedure (CPT/HCPCS), and modifier usage across revenue cycle workflows
Perform secondary reviews and audits to validate coding accuracy, sequencing, DRG/APC integrity, and documentation sufficiency
Ensure alignment with CMS, AHIMA, AAPC, and commercial payer coding and reimbursement guidelines
Establish and maintain audit‑ready, compliant coding practices
Lead root cause analysis (RCA) initiatives for coding‑relat...
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