Medical Records Technician Coder V-Supervisor

Koniag Government Services, LLC•Oklahoma City, OK

1d•Hybrid

About The Position

Koniag Advisory Business Solutions (KABS) is seeking an experienced, highly skilled, and mission-focused Medical Records Coder V (Supervisor) to lead a coding team supporting a large-scale healthcare mission serving hospitals and clinics. This is a critical leadership role supporting coding and billing for more than 300,000 patient visits, where technical expertise, accountability, oversight, and operational leadership are essential. In this role, you will provide direct supervision, technical leadership, and day-to-day oversight of a team that includes Medical Records Coder IV (Lead) and Medical Records Coder III staff. You will be responsible not only for high-level coding, auditing, and documentation integrity functions, but also for guiding team performance, supporting quality assurance, coordinating workflow, resolving escalated issues, and helping ensure compliance with reimbursement, regulatory, and contractual requirements. This position is especially well suited for a senior coding professional who combines deep technical expertise with leadership strength, sound judgment, and the ability to manage people, priorities, and quality in a high-volume, mission-driven environment.

Requirements

High school diploma or equivalent plus 8 or more years of progressively responsible experience in medical coding, health information management, or related functions; or a bachelor degree in Health Information Management or a related field with 5 or more years of progressively complex coding experience.
Completion of an accredited Health Information Management or Medical Coding program.
Current coding certification such as CCS, CPC, RHIA, RHIT, or equivalent required; advanced or multiple certifications preferred.
Demonstrated experience performing complex inpatient and outpatient coding, documentation review, and coding quality analysis.
Demonstrated supervisory, team lead, or formal mentoring experience in a coding or health information management environment.
Expert knowledge of ICD-10-CM/PCS, CPT, HCPCS, reimbursement methodologies, and official coding guidelines.
Strong understanding of AHIMA, AMA, Medicare, Medicaid, and third-party payer requirements.
Proficiency in electronic health record systems, encoder tools, and coding workflow and reporting systems.
Strong analytical, organizational, leadership, and communication skills.
Must be able to obtain and maintain a favorable Tier II background investigation determination, as required by IHS.
Must successfully complete all required fingerprinting, identity proofing, credentialing, badge, and access steps.
Must complete required privacy, HIPAA, and IT security training within required timeframes and maintain current status thereafter.
Must comply with all IHS, HHS, facility, and company privacy, confidentiality, records management, and cybersecurity requirements.
Must protect PHI and other sensitive information in both paper and electronic form using required administrative, technical, and physical safeguards.
Must immediately report suspected privacy breaches, improper disclosures, security incidents, malware events, lost devices, or unauthorized access.
Must use only authorized systems, accounts, devices, software, and remote-access methods.
Must maintain workstation, password, and badge security at all times.
Must be able to support periodic access reviews, audits, and compliance checks.

Nice To Haves

Experience working in Indian Health Service.
Experience supervising coding operations in hospital, clinic, multi-site, or federal healthcare settings.
Expertise in Medicare and Medicaid rules, policies, best practices for hospitals and outpatient clinic billing and coding, and reimbursement requirements.
Experience conducting audits, training staff, developing policies, and responding to reimbursement or compliance issues.
Familiarity with RPMS/EHR, health information management operations, business office coordination, and documentation improvement processes.
Ability to mentor new staff and build cohesive working relationships across teams.
Possess sufficient initiative, interpersonal relationship skills, and social sensitivity such that he or she can relate constructively to Native American communities.
Familiarity with HIPAA regulations and healthcare compliance.

Responsibilities

Directly supervises coding staff, including Medical Records Coder IV (Lead) and Medical Records Coder III personnel.
Assigns, prioritizes, and monitors workload to ensure timely completion of coding, abstracting, audit support, and related health information management activities.
Reviews team productivity, quality, timeliness, and adherence to established coding standards and operational expectations.
Provides day-to-day leadership, coaching, technical guidance, and performance feedback to staff.
Supports onboarding, training, mentoring, and continued development of coding personnel.
Collaborates with the Program Manager, health information management leadership, providers, and business office staff to resolve operational issues and improve workflows.
Escalates staffing, performance, compliance, workload, or quality concerns to management as appropriate.
Assists in developing and implementing standard work processes, team procedures, quality controls, and productivity expectations.
Supports scheduling, coverage planning, and continuity of operations during peak periods, absences, or changing client requirements.
Helps foster a professional, accountable, and collaborative team environment.
Performs or oversees comprehensive quantitative and qualitative analysis of written, dictated, and electronic clinical documentation records to ensure completeness, consistency, adequacy, and compliance.
Ensures final diagnoses accurately reflect care and treatment rendered and that documentation supports services billed and medical necessity requirements.
Identifies inconsistencies, discrepancies, documentation gaps, or patterns and formulates provider queries for clarification and specificity.
Serves as the senior escalation point for complex documentation and coding issues.
Provides education and feedback to providers, staff, and team members regarding coding requirements, documentation trends, and compliance expectations.
Makes final determinations, as appropriate, regarding completeness and adequacy of records for coding and reimbursement purposes.
Applies expert knowledge of anatomy and physiology, disease processes, pharmacology, reimbursement principles, coding conventions, and official guidelines to assign and validate codes accurately.
Utilizes encoder tools, coding books, internet resources, and approved references to assign and sequence ICD-10-CM, ICD-10-PCS, CPT, and HCPCS codes.
Reviews highly complex cases to ensure diagnoses and procedures are valid, complete, properly supported, and correctly linked.
Analyzes and abstracts data from records to identify secondary diagnoses, complications, co-morbidities, and reimbursement-sensitive conditions.
Reviews Evaluation and Management levels and ensures appropriate CPT and or HCPCS assignment.
Conducts or oversees coding audits, documentation reviews, peer reviews, and denial trend analysis.
Provides reports of findings, feedback, and corrective action recommendations to leadership and affected staff.
Supports and may lead coding-related education and briefings for medical staff, business office staff, and other healthcare personnel.
Assists in development, modification, and implementation of facility coding policies and procedures.
Supports problem resolution relating to abstracting procedures, RPMS, EHR workflows, and coding-related system or process issues.
Maintains or oversees maintenance of accurate productivity logs, quality review documentation, audit findings, and operational reports.
Supports weekly error report review and correction of orphaned visits and related database issues.
Maintains communication with business office staff regarding coding, billing, reimbursement, and table maintenance issues.
Supports provider record completion efforts and monitors documentation deficiencies or trends.
Participates in committees, work groups, meetings, and discussions related to coding, compliance, quality, reimbursement, or documentation integrity.
During peak workloads, provides direct hands-on coding and health information management support as needed.