LeadCoordinator,Coding&Billing

## _**What Revenue Cycle Management (RCM) contributes to Cardinal Health**_ Practice Operations Management oversees the business and administrative operations of a medical practice. Revenue Cycle Management manages a team focused on a series of clinical and administrative processes that healthcare providers utilize to capture, bill, and collect patient service revenue. The revenue cycle shadows the entire patient care journey and begins with patient appointment scheduling and ends when the patient’s account balance is zero. ## ## The Lead, Coding & Billing is a hands-on senior individual contributor who provides advanced coding expertise and day-to-day operational leadership for pre-submission billing and specialty coding activities supporting Radiation Oncology, Urology and Imaging, This role supports management by ensuring high-quality coding, clean claim submission, denial prevention, and workflow accountability while serving as the primary escalation point for complex coding and billing issues. ## ## **_Responsibilities_** ## Functional Leadership & Workflow Oversight ## • Lead daily pre-submission coding and billing operations to support timely, accurate claim submission. • Monitor In Progress, coding, and pre-bill work queues to ensure productivity standards are met. • Coordinate workloads across multiple specialties and practices. • Maintain department coverage, including PTO coordination. • Support End-of-Month close and reporting deadlines. ## Advanced Coding & Clinical Expertise ## • Serve as certified coding SME for Urology, Radiation Oncology, and Imaging. ## • Apply expert knowledge of ICD-10-CM, CPT, and HCPCS coding. • Review documentation for accuracy and compliance. • Perform quality audits (routine, pre-bill, policy-driven, incentive-based). • Research resolution for LCD/NCD and payer policy denials. ## Denial Prevention & Revenue Integrity ## • Analyze denial trends and AR aging using Power BI and other tools. • Identify root causes and recommend