JOB DESCRIPTION TEAM LEADER EVALUATION & MANAGEMENT (E/M) CODING

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Wipro is seeking a team lead Certified Medical Coder who combine excellent medical coding skills with the ability to function effectively both as part of a team or on an individual basis to bring their talent to our team.
Wipro is a leading, publicly traded NYSE: (WIT), global IT solutions and services company with over 210,000 dedicated employees serving clients across multiple continents and over sixty countries.
We offer a strong compensation package that includes competitive hourly pay, the ability to earn overtime, and day one benefits. Wipro also offers many opportunities for career advancement within our engaging and exciting culture.
Job-Type: This is a full-time direct hire position. Thisposition is remote, WFH.

POSITION SUMMARY

Team Lead for Evaluation & Management (E/M) Coding to oversee post pay coding operations, ensure compliance with CMS guidelines, and drive coding quality and productivity. The Team Lead will manage a team of medical coders, provide training and mentoring, and serve as a subject matter expert (SME) in E/M coding, documentation guidelines.

REQUIRED QUALIFICATIONS

· Bachelor’s degree in Life Sciences, Nursing, paramedic or a related healthcare field
· Minimum 5 years of hands-on medical coding experience with a strong focus on Evaluation & Management payer specific post pay Coding.
· Certified Professional Coder (CPC) or Certified Evaluation & Management Coder (CEMC) or Certified Coding specialities (CCS) credential required or equivalent credential required.
· In-depth knowledge of ICD-10-CM, CPT®, and HCPCS Level II coding systems.
· Strong understanding of CMS guidelines, 2021 E/M documentation changes, and payer-specific policies.
· Proven experience in conducting quality reviews, audits, and coder mentoring.
· Proficiency in working with EMR/EHR systems and coding software
· Excellent leadership, communication, and problem-solving skills.
· Ability to work independently and as part of a team in a fast-paced environment.

PREFERRED QUALIFICATIONS

· Associate degree or equivalent combination of education and healthcare coding experience may be considered.
· Advanced qualification (RHIT, RHIA) would be an added advantage.
· Prior experience leading a coding team or acting as a Quality Reviewer/SME in E/M coding.
· Familiarity with payer-specific E/M coding rules.
Job Type: Full-time
Pay: $43.00 - $48.00 per hour
Expected hours: 40 per week

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Employee discount
• Flexible spending account
• Health insurance
• Health savings account
• Life insurance
• Paid time off
• Referral program
• Vision insurance

Experience:

• certified medical coder: 3 years (Required)
• supervise and lead a team of medical coders: 2 years (Required)
• Work from home: 1 year (Required)
• HIPPA compliance: 1 year (Required)
• Healthcare medical, dental and vision claims: 2 years (Required)

Work Location: Remot

· Supervise and lead a team of medical coders specializing in Evaluation & Management services.
· Assign, monitor, and review coding work to ensure accuracy, timeliness, and compliance with CMS and payer-specific requirements.
· Conduct regular quality audits and provide feedback to coders to maintain error rates within acceptable thresholds.
· Serve as the SME for E/M coding guidelines, 1995/1997 and 2021 AMA/CMS updates, and documentation requirements.
· Collaborate with providers, auditors, and compliance teams to address queries and resolve coding discrepancies.
· Develop and deliver training programs for new and existing coders on E/M coding and documentation changes.
· Track team productivity, create performance reports, manage coding performance and support workforce management initiatives.
· Support medical necessity and revenue integrity initiatives through accurate E/M code assignment.
· Ensure adherence to HIPAA, compliance, and confidentiality standards.