What are the responsibilities and job description for the Coding and Billing Team Lead position at NMA (Neuromonitoring Associates)?
Position Title: Coding and Billing Team Lead
Department: Coding
Reports To: Vice President of Revenue Cycle Management
FLSA: Exempt
Position Summary
The Coding and Billing Team Lead is responsible for directing and coordinating the daily operations of the medical coding and billing team to ensure accurate, compliant, and timely billing practices. This role oversees coding and billing audits, implements and maintains coding policies and guidelines, and ensures adherence to applicable regulations. The Team Lead collaborates closely with healthcare providers and internal teams to resolve coding and billing issues, supports revenue cycle processes, and stays current with changes in coding requirements. Strong leadership, in-depth coding and billing expertise, and knowledge of relevant coding systems and guidelines are essential for success in this role.
Essential Duties & Responsibilities
Department: Coding
Reports To: Vice President of Revenue Cycle Management
FLSA: Exempt
Position Summary
The Coding and Billing Team Lead is responsible for directing and coordinating the daily operations of the medical coding and billing team to ensure accurate, compliant, and timely billing practices. This role oversees coding and billing audits, implements and maintains coding policies and guidelines, and ensures adherence to applicable regulations. The Team Lead collaborates closely with healthcare providers and internal teams to resolve coding and billing issues, supports revenue cycle processes, and stays current with changes in coding requirements. Strong leadership, in-depth coding and billing expertise, and knowledge of relevant coding systems and guidelines are essential for success in this role.
Essential Duties & Responsibilities
- Serve as the subject matter expert for all billing and coding operations
- Lead, train, and supervise the billing and coding team, including workload management, performance monitoring, coaching, and issue resolution
- Ensure accurate, compliant, and timely coding and billing through chart review, claim audits, and error correction
- Create, submit, and monitor CMS-1500 claims and work claim rejections through the clearinghouse to resolution
- Monitor documentation completeness and collaborate with providers and clinical staff to obtain required information
- Manage and maintain coding rules that drive coding automation logic, ensuring accuracy, compliance, and alignment with payer requirements
- Ensure compliance with CPT, ICD-10, HCPCS, payer guidelines, NCDs/LCDs, and all applicable federal and state regulations
- Identify trends, denial drivers, and system or process improvements to enhance billing accuracy and reimbursement
- Maintain current knowledge of coding and regulatory updates and ensure team compliance with certifications and CEU requirements
- Review KPI and productivity reports and communicate performance outcomes to leadership
- Respond professionally and timely to inquiries from providers, staff, payers, and leadership