Medical Coding Supervisor

Guidehouse•San Antonio, FL

2d•$68,000 - $113,000•Remote

About The Position

The Medical Coding Supervisor oversees inpatient, outpatient, and professional-fee coding teams. The role performs training and initial quality-assurance reviews for direct-report coders and applies clinical documentation and diagnostic results to assign appropriate ICD-10 diagnosis codes and CPT/PCS codes for coding, billing, reporting, research, and regulatory compliance. Under the direction of the Coding Manager, the Supervisor communicates with coding teams, client contacts, and providers about coding in accordance with official coding guidelines, CMS/MAC rules, AMA CPT rules, and other mandated standard-code-set guidelines. The role may also oversee teams working payer-related coding denials and recommend actions to resolve claims based on payer guidelines. The Supervisor supports daily coding operations by assigning work, monitoring queues and turnaround times, reporting queue status, answering coder questions, coordinating with operations and quality staff, and coaching team members. The position is full-time and 100% remote; travel to client sites may occasionally be necessary.

Requirements

University degree and at least 5 years of prior relevant experience; relevant experience may substitute for formal education.
At least 3 years of medical coding experience.
At least 2 years of people-leadership experience.
Must maintain a coding credential throughout employment.
Must hold one of the following credentials: RHIT, RHIA, CCS, CPC, or COC.
Strong working knowledge of and experience with federal and state coding regulations and guidelines.
Must be a U.S. citizen and willing to undergo a federal background check as part of onboarding.

Nice To Haves

Experience with EPIC, Cerner, NextGen, Allscripts, or another EHR system.
Knowledge of anatomy, physiology, and medical terminology.
Experience with ICD-10-CM and PCS Coding Clinics.
Experience with government and other payer guidelines as they relate to compliant coding.

Responsibilities

Maintain working knowledge of ICD-10-CM, PCS, and CPT coding principles, governmental regulations, official coding guidelines, and third-party documentation and billing requirements.
Perform quality coding and answer questions relating to inpatient and outpatient surgery, clinics, emergency rooms, and ancillary services.
Train and instruct new coders on facility-specific coding and abstracting guidelines, encoder functionality, and EMR functionality.
Follow facility-specific policies and procedures.
Provide daily support to coders by answering facility-related questions as needed.
Review coding and pending queues daily to ensure charts are worked on time, and notify administrative staff when the 24-hour turnaround standard cannot be met.
Facilitate daily work assignments and work with the Operations Manager to resolve coder questions and issues.
Send daily queue-status reports and communicate with facilities as necessary.
Work directly with IQC staff to ensure each facility's quality standards are met.
Coach team members to improve performance, with input and direction from management, and escalate performance issues as appropriate.
Perform training and initial QA reviews for direct-report coders.
Communicate with coding teams, client contacts, and providers regarding coding conditions and procedures in accordance with applicable official guidelines and rules.
Where applicable, oversee teams working payer-related coding denials and recommend appropriate claim-resolution actions based on payer guidelines.
Create reports in Excel as requested and communicate professionally with internal and external personnel.