Water's Edge Dermatology, an AQUA Dermatology portfolio practice , is Florida's largest and most comprehensive full-service skin care provider in the Southeast, offering medical, surgical, and cosmetic dermatology, plastic surgery, vein care, and radiation oncology.
It is the primary function of the Coding Quality Auditing Team Lead is to serve as a coding expert resource for the Coding staff, providers, and support staff. They will act as the first line of coding support, ongoing training and education of coding staff, providers, clinical staff, and other affected personnel for improved documentation, and best coding practices and to ensure compliance with company standards, Medicare, OIG, AMA, and health insurance payer policies.
ESSENTIAL FUNCTIONS

• Trains, coaches, and leads coding staff; monitors, and evaluates work; reports any issues to the Coding Quality Supervisor.
• Works with Coding Quality Supervisor to develop best practice processes, reference materials, and tools to communicate optimal revenue cycle management and workflows.
• Monitors reports and medical record documentation to identify potential issues. Reports unusual and complex issues. Recommends action plans and suggests processes for improvements.
• Works with the Coding Quality Supervisor to establish, implement, and maintain a formalized review process for coding and documentation compliance. Monitors and adheres to the audit schedule. Analyzes audit results, identifies trends, and presents audit/review findings, potential issues, and their root causes to ensure audit results are disseminated and understood. Provide education based on audit findings.
• Serves as point of contact for insurance medical record requests. Tracks and assigns requests. Ensures completion.
• Participates in educational activities to maintain current credentials, as well as enhance knowledge and skills. Attends department staff meetings and aids other departments as requested by management
• Serves as a facility representative by attending coding and reimbursement workshops and bringing back information as appropriate; communicates any updates published in third-party payer newsletters, bulletins, and/or provider manuals; shares information with facility staff as directed.
• Stays informed about transaction code sets, Health Insurance Portability, and Accountability Act (HIPPA) requirements, and other future issues impacting health information management functions; keeps abreast of new technology in coding and abstracting software and other forms of automation.
• Other duties as assigned.

We offer competitive salaries and benefits:

• Medical, Dental, and Vision available after 30 days of hire
• Short-term disability and life insurance, and many ancillary options.
• 401k available after 90 days of hire
• Employee discounts on products and services
• Excellent growth and advancement opportunities

POSITION TYPE AND EXPECTED HOURS OF WORK

• Full-Time
• Monday - Friday
• 8 am - 5 pm

QUALIFICATIONS
Education - The candidate will need to either hold a current certification (CPC from AAPC or CCS from AHIMA).
Experience - 3 years of healthcare revenue cycle management, billing, and collection-related work experience. General understanding of professional fee billing processes and procedures. Current knowledge of coding guidelines and current CPT, ICD-10, and HCPCS coding, fee schedule reimbursement methodology, and regulatory requirements for provider coding and reimbursement. Working knowledge of key coding concepts, such as CPT modifiers, surgical packages, medical record documentation requirements, and multiple procedure guidelines. Proficient in analyzing statistical data
Communication - Excellent oral and written communication skills.
Work Style - Must be able to work well independently and efficiently but ask for help when needed. Ability to analyze and interpret information, ability to interact and decipher information telephonically and electronically. Good organizational, analytical, and time management skills.
Founded in 1998, AQUA Dermatology is the Southeast's premier dermatology practice with over 100 locations throughout Florida, Georgia, and Alabama. Our established practices and experienced physicians offer patients the highest quality outcomes and an exceptional patient experience. From common rashes to skin cancer treatments, and plastic surgery procedures to an array of vein treatments, no case is beyond our experience and expertise!