Supervisor, Inpatient Hospital Coding

WVU Medicine•Home Work - NC (Remote), NC

About The Position

Supervises hospital or professional coding staff and assists the management team with day-to-day departmental operations related to reimbursement, coding, abstracting, productivity, quality, and education. Helps implement and facilitate ongoing medical coding, abstracting, auditing, monitoring, and physician and coder education for existing and new clinics, locations, and hospitals. The role supports compliance with federal and state healthcare coding rules, regulations, administrative requirements, and guidance, and serves as a positive role model and department representative. The supervisor manages coding staff, monitors coding backlogs, work queues, and charge lag, provides expert coding guidance, and conducts or oversees audits. The position also supports policy and training development, budget stewardship, issue resolution, data reporting, vendor liaison activities, information-system testing, and coding work as needed. The work is performed in a standard office environment, may involve visual strain from computer and written materials, and may require travel.

Requirements

High school diploma or equivalent.
Current HIM or coding certification through AHIMA or AAPC.
Five years of medical coding experience.
Excellent written, verbal, and interpersonal communication skills.
Knowledge of provider healthcare compliance, revenue cycle operations, and auditing techniques.
Ability to mentor, educate, and train others.
Ability to meet quality and productivity standards.
Ability to handle high-stress and critical situations calmly and professionally.
Ability to concentrate and maintain accuracy during frequent interruptions.
Independent decision-making ability.
Ability to prioritize duties and adapt to workplace and assignment changes.
Organizational and time-management skills.
Knowledge of anatomy, physiology, and medical terminology.
Analytical and problem-solving skills.
Proficiency in office software, including medical record and billing systems.
Ability to analyze complex data and reports.

Nice To Haves

Associate degree or higher in Health Information Management or a related field.
Previous clinical experience as an RN, LPN, or Medical Assistant.
Extensive experience in ICD-10-CM, ICD-10-PCS, CPT, MS-DRG, HCC, and APR-DRG assignment for hospital supervising positions; multi-specialty coding; E&M coding; procedural and surgical coding; and governmental billing and coding regulations, including Teaching Physician Guidelines for professional coding supervisors.
Previous supervisory or project management experience.
Seven years of medical coding experience.

Responsibilities

Supervises coding staff and assists management with daily departmental operations related to reimbursement, coding, abstracting, productivity, quality, and education.
Ensures coding backlogs, work queues, and charge lag remain at acceptable levels.
Serves as an expert coding resource for coders, providers, revenue cycle teams, specialty groups, and meetings.
Manages coding personnel, including interviewing, hiring, coaching, counseling, discipline, and performance evaluations in conjunction with management.
Develops and maintains coding-related policies, procedures, and training materials with management.
Identifies budgetary needs and maintains fiscal stewardship.
Conducts or oversees internal and external audits for compliance with medical record documentation, coding, and billing guidelines.
Works with staff to analyze and resolve issues affecting coding and billing.
Maintains effective, open, and ongoing communication.
Extracts, analyzes, and reports data to the appropriate management team.
Liaises with vendors and provides input on and tests information systems.
Assists with staff coding as needed.
Helps implement and facilitate ongoing coding, abstracting, auditing, monitoring, and physician and coder education activities.