This position may require temporary relocation to other TONHC Facilities: Sells Hospital, Santa Rosa Health Center, San Simon Health Center, and San Xavier Health Center.

The Lead Medical Coder is a certified professional coder responsible for assisting the Medical Coding Office Manager with oversight of daily coding operations. Tasks include assigning ICD, CPT, HCPCS, and inpatient medical codes, abstracting data from records, chart analysis, research coding issues, peer reviews, and serving as a medical documentation and coding technical expert to TONHC providers.

The role involves specialized medical record tasks using established procedures, coding conventions, and guidelines. The position impacts patient care by accurately recording services performed and works independently under general supervision.

Key responsibilities include:

Leading and guiding day-to-day inpatient and outpatient medical coding services and staff
Assigning appropriate ICD, CPT, HCPCS codes per official guidelines and federal/state regulations
Reviewing physician documentation and collaborating with providers for clarification
Ensuring accuracy and sequencing of codes
Utilizing coding software and abiding by AMA coding rules
Educating clinicians on proper documentation practices
Performing coding audits, data abstraction for billing and governmental reporting
Participating in policy development and technical support for EHR and coding systems
Training coworkers, contractors, and interns in coding practices

Knowledge, skills, and abilities necessary:

Familiarity with Tohono O'odham culture and applicable laws including HIPAA
Expertise in medical coding standards from AHIMA, AHA, CMS, NCHS
Proficiency with ICD/CM, CPT, HCPCS coding, DRG, APC systems, and relevant software
Strong computer and report preparation skills
Commitment to accuracy and compliance with ethical coding standards
Ability to communicate effectively and work independently

Minimum qualifications:

High School Diploma or GED
Minimum 3 years’ experience in medical coding or billing
At least 6 months supervisory or leadership experience

Licenses and certifications:

Certified Coder certification from AAPC or AHIMA (or equivalent) required
Typing speed of 40 WPM
Background checks and possibly a valid driver's license required
Fluency in Tohono O'odham language and English may be required based on department needs