Fulgent Genetics · 1 month ago
Billing Coder Team Lead - Anatomical Pathology
Coppell, TX, USA
Full-time
Onsite
Senior Level
5+ years expFulgent Genetics is a nationally recognized diagnostics laboratory focused on anatomic pathology subspecialties. The Billing Coder Team Lead is responsible for performing quality reviews, generating departmental reports, and ensuring compliance within the billing and coding team.
BiotechnologyHealth CareHealth Diagnostics
Responsibilities
Conducts information reviews and evaluates results comparing the requisition demographics and insurance information to the information that was entered into the billing system during the data entry process
Maintains QA at or above required 95% accuracy and performs additional training with individuals that fall below the standard to ensure the success of the team as a whole
Identifies and documents errors found in the data entry process using insurance guidelines and departmental procedures. Provides follow-up and training to individuals as needed
Reconciles NovoPath/Quadax file transmissions to ensure timely filing of cases
Maintains and reports department quality/productivity data monthly for the team
Downloads files from the billing system, imports data into Excel and creates worklists/assignments
Monitor denials for trends and evaluate processes that can be updated to ensure clean claims are sent out
Develop training documents and SOPs for department
Report to Senior Manager any deficiencies identified that affect TAT for case release to billing, denial trends, etc
Update LCD/NCD requirements as released by MCR each year. Provide education to the team regarding any changes that affect the coding department as a whole
Accepts other duties as assigned
Qualification
Required
Maintain current knowledge of Current Procedural Terminology (CPT) and International Classification of Diseases (ICD-10) codes to ensure reliable communication with all physicians and coworkers and other healthcare providers and insurance carrier billing requirements
Proficient in 10 key and alpha/numeric data entry
Proficient in Microsoft Office Suite, specifically Word, Excel, Outlook, and general working knowledge of Internet for business use
Ability to work in a fast-past, deadline driven environment
Drive for Results (Service, Quality, and Continuous Improvement) – Ensure procedures and processes are in place that will lead to delivery of quality results and continually reassess their effectiveness to achieve continuous improvement
Communication – Proficient verbal and written communication skills. Ability to share and receive information and ideas from all levels of the organization in order to achieve the desired billing and coding results
Teamwork – Commitment to the successful achievement of team and organizational goals through a desire to participate with and help other members of the team
Customer Service Focus – Demonstrate a focus on clean claims to better serve the patients and clients
High School diploma or equivalent required
7+ years of medical coding experience OR 5+ years of anatomic pathology coding experience
Certified Professional Coder Certification-CPC through AAPC or RHIT equivalent
Must possess ability to sit and/or stand for long periods of time
Must possess ability to perform repetitive motion
Ability to lift up to 15 pounds
The majority of work is performed in a desk/cubicle environment
Company
Fulgent Genetics
Our mission is to develop flexible and affordable diagnostics and therapeutics that improve the everyday lives of those around us.
201-500 employees
H1B Sponsorship
Fulgent Genetics has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (9)
2024 (15)
2023 (4)
2022 (6)
2021 (12)
2020 (2)
Funding
Current Stage
Growth StageLeadership Team
Travis Adams
Vice President, Strategic Partnerships and Managed Care Operations
Brandon Perthuis
Chief Commercial Officer
Company data provided by crunchbase