Profee Coding Team Lead

Datavant is at the forefront of health data exchange, providing a comprehensive data platform designed to empower every healthcare decision with accurate and timely information. Our expansive and secure health data network is utilized by leading life sciences companies, government agencies, and healthcare providers.

Joining our team means becoming part of a passionate, high-performing group dedicated to innovative solutions for complex healthcare challenges. We value diverse professional experiences and backgrounds as we work together to shape the future of healthcare.

About the Role :

We are seeking a Profee Coding Team Lead with a robust orthopedic background, especially in spinal procedures. You will play a crucial role in monitoring work queues, resolving coding queries from physicians and billing staff, and ensuring effective communication among teams. Additionally, you will be responsible for tracking any missing operative reports.

Your Responsibilities :

Review medical records to identify diagnoses and procedures for accurate code assignment to ensure compliance and reimbursement.

Engage with physicians when documentation is unclear or code assignments are complex.

Stay updated on coding guidelines and compliance regulations, advising management of any concerns.

Provide mentorship and training for new coders and ongoing education for team members.

Assist the coding manager with special assignments and help in resolving unbilled issues.

Act as a resource for coding-related inquiries from team members.

Encourage professional development by meeting continuing education requirements and supporting departmental goals.

Monitor performance metrics and assist in setting departmental goals.

Identify training needs to enhance team performance.

Report personnel issues to management and support team members with their queries and training needs.

Help management monitor staff KPIs, timekeeping, and schedules.

Qualifications for Success :

Minimum of 3 years in Profee coding.

Prior experience in a supervisory or team lead role.

Coding Certification from AAPC or AHIMA is required.

A High School Diploma or GED is required.

Preferred : Associate's Degree in Health Information Management or a related field.

Proficient knowledge of ICD-10 and Profee coding guidelines.

Experience with billing and denial processes.

Strong communication skills, both oral and written.

Excellent analytical abilities for data interpretation.

Comprehensive understanding of human anatomy, medical and surgical terminology.

Strong critical thinking and decision-making skills.

Understanding of coding compliance and insurance payor policies across multiple specialties.

Preferred Skills :

Experience in auditing.

Background in education and training.

What We Offer :

Comprehensive benefits package, including a 401k savings plan.

Access to 20-24 free CEUs annually, facilitated by Datavant.

Reimbursement for AAPC / AHIMA dues.

Company-provided equipment, including a computer and monitor.

In-depth training led by a certified professional coding manager.

Exceptional management and mentorship to support your success.

For ensuring the safety of our patients and staff, many clients require health screenings and vaccination proof upon offer acceptance. Accommodations will be assessed on a case-by-case basis.

This role is not eligible for employment sponsorship.

Datavant is dedicated to maintaining an equitable work environment free from job discrimination. As an Equal Employment Opportunity employer, we welcome all qualified applicants and encourage diversity.

We are also committed to providing reasonable accommodations for individuals with disabilities throughout the hiring process. If you require accommodations, please submit a request through our portal.

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