Medical Coding Supervisor

Guidehouse•San Antonio, FL

19h•Remote

About The Position

The Medical Coding Supervisor oversees inpatient, outpatient, and professional-fee coding teams. The role requires proficiency in medical coding and experience supervising coding teams. The Supervisor trains and conducts initial quality assurance reviews for direct-report coders, reviews clinical documentation and diagnostic results, and applies appropriate ICD-10 diagnosis, CPT, and PCS codes for coding, billing, reporting, research, and regulatory compliance. Under the direction of the Coding Manager, the Supervisor communicates with coding teams, clients, and providers about coding conditions and procedures in accordance with official coding guidance and applicable CMS/MAC, AMA, and other mandated code-set rules. The role may include oversight of payer-denial work and recommending actions to resolve claims. The Supervisor uses Excel to prepare requested reports, supports facility-specific coding operations, and communicates professionally with internal and external personnel. 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 the required credential throughout employment.
Must hold one of the following credentials: RHIT, RHIA, CCS, CPC, or COC.
Strong working knowledge and experience with Federal and State coding regulations and guidelines.
Must be a US citizen and willing to undergo a federal background check as part of onboarding.
Proficiency in medical coding and experience overseeing coding teams.
Ability to review clinical documentation and diagnostic results and apply appropriate coding.
Professional communication skills with internal and external personnel.

Nice To Haves

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

Responsibilities

Train and perform initial quality assurance reviews for direct-report coders.
Review clinical documentation and diagnostic results and apply appropriate ICD-10 diagnosis, CPT, and PCS codes for coding, billing, reporting, research, and regulatory compliance.
Communicate with coding teams, client contacts, and providers regarding coding in accordance with official coding guidelines and applicable payer and code-set rules.
Oversee coding-related payer denials as applicable and recommend appropriate claim-resolution actions based on payer guidelines.
Maintain working knowledge of ICD-10-CM, PCS, CPT coding principles, governmental regulations, official coding guidelines, and third-party documentation and billing requirements.
Perform quality coding and answer questions on inpatient and outpatient surgery, clinic, emergency room, and ancillary services.
Train new coders on facility-specific coding and abstracting guidelines, encoder use, and EMR functionality.
Follow facility-specific policies and procedures and provide coders with daily support on facility-related questions.
Review coding and pending queues daily to ensure charts are worked timely; notify administrative staff when the 24-hour turnaround standard cannot be met.
Facilitate daily coder assignments and work with the Operations Manager to resolve coder questions and issues.
Send daily queue-status reports and communicate with the facility as necessary.
Work with IQC staff to ensure quality standards are met for each facility.
Coach team members to improve performance and escalate performance issues as appropriate.
Use Excel to create reports as requested and communicate professionally with personnel at all levels.