Job Title: Medical Coding Supervisor

Job Description

Supervise and manage a team of medical coders, ensuring high standards of coding accuracy, efficiency, and compliance with industry regulations. Lead audits of coded medical records, providing detailed feedback and coaching to medical coders and physicians to improve accuracy and adherence to coding guidelines.

Responsibilities

• Ensure compliance with federal and state regulations related to medical coding and billing.
• Oversee and monitor coding workflows to ensure timely completion of tasks.
• Track and analyze key performance indicators (KPIs) to maintain high levels of efficiency, accuracy, and productivity.
• Train and mentor medical coding staff to foster a culture of continuous learning and improvement.
• Implement performance improvement initiatives and lead projects to enhance coding accuracy and productivity.
• Prepare MIPS (Merit-based Incentive Payment System) reports and track performance.
• Review, analyze, and input clinic claim codes (ICD-9/ICD-10, HCPCS, CPT) based on EMR records, ensuring proper modifiers and documentation.
• Educate and consult with physicians and nursing staff on coding practices, ensuring accurate and thorough clinical documentation.
• Stay current with updates on medical treatments, procedures, diagnosis classifications, payer updates, and coverage changes.
• Communicate relevant information to providers, supervisors, and the billing team.
• Use coding manuals and software to ensure proper code selection and compliance with industry standards, including HIPAA, AHIMA, and AAPC ethical guidelines.
• Enter coded data into EHR or practice management systems for billing accuracy.
• Maintain organized, accurate coding files.
• Collaborate with the billing department to ensure accurate insurance claims submission, address discrepancies, and resolve coding errors or denials.
• Resubmit denied claims after adjustments, assist with audits, and maintain strong knowledge of medical terminology and disease processes.
• Maintain NDC updates, adhere to NCCN guidelines, and work with A/R and billing teams to resolve claim rejections, troubleshoot billing issues, and ensure claims are processed correctly.

Essential Skills

• RHIT, RHIA, CPC, CCS, AAPC, or equivalent certification (RHIT highly preferred).
• Minimum of 2 years of leadership experience managing medical coding and billing teams.
• 5+ years of coding experience, including 2+ years of experience in multispecialty coding.
• Proven ability to lead audits of coded medical records and provide actionable feedback.

Additional Skills & Qualifications

• Strong supervisory skills.
• Proficiency in using coding manuals and software.
• In-depth knowledge of medical terminology and disease processes.

Work Environment

This role is 100% in-office. It is a working supervisor role, requiring 50% of the time dedicated to coding and 50% to leading the team. The work schedule is Monday to Friday with some flexibility in hours.