Facility Coding and Audit Lead

The Facility Coding and Audit Lead is responsible for a combination of facility coding, auditing, leadership, project oversight, and quality assurance. This role supports inpatient and outpatient coding using ICD-10-CM, ICD-10-PCS, HCPCS, CPT, DRG, and query review workflows based on medical record documentation.

The position focuses on maintaining coding accuracy, consistency, and compliance across the coding team while serving as a technical resource, performing quality audits, mentoring coders, and helping identify trends to reduce coding errors and improve reimbursement outcomes.

Key responsibilities

• Abstract ICD-10-CM, ICD-10-PCS, HCPCS, CPT, DRG, and query reviews based on medical record documentation
• Enter data accurately into client software and Excel reports
• Code and audit inpatient and outpatient accounts across multiple specialties
• Evaluate facility documentation quality for improvement opportunities
• Perform quality assurance reviews on team members
• Communicate with clients and providers regarding coding clarification and missing documentation
• Coordinate with project teams and project management on onboarding, training, schedule changes, and work volume
• Assist with project staffing needs based on client volume
• Track time accurately and comply with PHI, coding, and regulatory requirements
• Perform other duties as assigned