R1 RCM

Position Overview

• The Team Leader is responsible for overseeing the daily operations of the medical coding team, ensuring accurate, timely, and compliant coding of medical records across inpatient, outpatient, and/or same-day surgery services. This leadership role combines expert-level coding knowledge with strong team management skills to support high-quality documentation, optimal reimbursement, and regulatory compliance.
• The Team Leader provides guidance and mentorship to coders, conducts quality audits, resolves complex coding issues, and collaborates with clinical documentation improvement (CDI), billing, and compliance teams. They also play a key role in training new staff, monitoring performance metrics, and implementing process improvements to enhance coding accuracy and efficiency.

Responsibilities

• Supervise and coordinate the daily activities of the medical coding team to ensure timely and accurate coding of medical records.
• Review and audit coded data for accuracy, completeness, and compliance with official coding guidelines and payer requirements.
• Provide expert guidance on complex coding issues, including DRG change resolution, ICD-10-CM, ICD-10-PCS, CPT coding, and modifier usage.
• Monitor team performance using productivity and quality metrics; implement corrective actions as needed.
• Conduct regular training sessions and one-on-one coaching to support coder development and maintain up-to-date knowledge of coding standards.
• Collaborate with clinical documentation improvement (CDI), billing, and compliance teams to resolve discrepancies and optimize documentation quality.
• Stay current with changes in coding regulations, payer policies, and healthcare compliance standards.
• Develop and implement process improvements to enhance coding efficiency and accuracy.
• Prepare and present reports on coding performance, audit findings, and team progress to management.
• Reporting the weekly and monthly performance to key stakeholders, taking initiative for the identified areas of improvement.
• Team management of direct reports
• Setting KPI goals, reviewing the performance metrics, coaching, and feedback to enable the team to meet KPI goals consistently.
• Contribute and inspire team-wide development through valuable content sharing, rewards & recognition, and implementing best-people management practices such as team bonding.

Required Qualifications

• Education: Bachelor's degree in nursing or a related field (medical allied courses). Advanced degrees or certifications may be preferred.
• Certification: Must hold a valid active coding credential from AHIMA or AAPC (RHIA, RHIT, CPC, COC, CCS-P, CCS, and/or CIC)
• Coding/Supervisory Experience: Minimum of 4 years work experience in IP or SDS coding, with at least 2 years of team management experience
• Communication: Excellent written and verbal communication skills to collaborate with onshore partners, healthcare providers, billing teams, and administrative staff effectively.
• Soft Skills: Able to work independently and willing to adapt and change as per business/process requirements; should be flexible to adapt to shift timings on a need basis; with strong attention to detail and organization skills; has the ability to maintain the highest levels of customer satisfaction and be service-oriented
• Coding Knowledge: In-depth knowledge of ICD-10-CM, ICD-10-PCS, and other coding systems, including coding guidelines, conventions, and modifier usage.
• Medical Terminology: Strong understanding of medical terminology, anatomy, physiology, and disease processes to accurately assign codes and interpret medical documentation.
• Compliance: Thorough knowledge of coding regulations, guidelines, and industry standards, including CMS guidelines and payer-specific policies.
• Analytical Skills: Strong analytical and problem-solving skills to review and interpret complex medical documentation, identify discrepancies, and ensure accurate code assignment.
• Attention to Detail: Keen attention to detail to identify and resolve coding-related issues and ensure accuracy and completeness in code assignment.
• Computer Skills: Proficient in using coding software, encoders, and electronic health record (EHR) systems. Familiarity with healthcare billing and practice management software is a plus.
• Continuous Learning: Commitment to continuous learning and staying updated on coding changes, regulations

Working in an evolving healthcare setting, we use our shared expertise to deliver innovative solutions. Our fast-growing team has opportunities to learn and grow through rewarding interactions, collaboration and the freedom to explore professional interests.

Our associates are given valuable opportunities to contribute, to innovate and create meaningful work that makes an impact in the communities we serve around the world. We also offer a culture of excellence that drives customer success and improves patient care. We believe in giving back to the community and offer a competitive benefits.

What’s in it for you?

• Competitive Total Rewards Package
• Target variable incentives
• Medical Plan (HMO) from Day 1 of employment with free dependents
• Life insurance
• Paid Time-Off Benefits
• Sick Leave Conversion
• Night Differential offered
• Employee Referral Program
• All Mandatory Statutory Benefits

R1 RCM Inc. (“the Company”) is dedicated to the fundamentals of equal employment opportunity. The Company’s employment practices , including those regarding recruitment, hiring, assignment, promotion, compensation, benefits, training, discipline, and termination shall not be based on any person’s age, color, national origin, citizenship status, physical or mental disability, medical condition, race, religion, creed, gender, sex, sexual orientation, gender identity and/or expression, genetic information, marital status, status with regard to public assistance, or any other characteristic protected by local law. Furthermore, the Company is dedicated to providing a workplace free from harassment based on any of the foregoing protected categories.

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