Ambulance Coding Supervisor

Ambulance Coding Supervisor

Title: Ambulance Coding Supervisor

Work Location: Pafford Medical Services, Inc. Oklahoma City

Division/Department: PMBS

Reports To: Director of Pafford Medical Billing Services Full-Time Exempt

Job Description: The Ambulance Coding Supervisor is responsible for overseeing daily ambulance coding operations to ensure accurate, compliant, and timely coding of ground ambulance claims. This role provides direct supervision, training, and quality oversight of internal coding staff and contracted/offsite coding vendors. The Supervisor partners closely with billing, compliance, and operations teams to support revenue integrity, audit readiness, and consistent coding standards across multiple states.

Essential Duties and Responsibilities: Supervision & Leadership

1. Supervise and support a team of internal ambulance coders, including work distribution, productivity monitoring, performance feedback, and accountability.

2. Monitor and manage coding quality, productivity, and compliance for offsite/contracted coding vendors.

3. Serve as a subject-matter expert for ground ambulance coding rules, modifiers, and documentation requirements.

4. Assist with onboarding, training, and ongoing education for both internal staff and contracted coders.

5. Develop, maintain, and enforce coding workflows, desk procedures, and quality standards.

Coding & Compliance Oversight

6. Ensure accurate coding of ALS/BLS services, mileage, modifiers, and specialty care transports (SCT) in accordance with CMS, Medicare, Medicaid, and commercial payer guidelines.

7. Conduct routine quality assurance (QA) audits of coded claims from both internal and vendor coders and provide corrective feedback.

8. Identify error trends, compliance risks, and training gaps and implement corrective action plans as needed.

9. Stay current on CMS guidance, NCCI edits, OIG work plans, LCDs (when applicable), and state-specific Medicaid requirements.

Collaboration, Audits & Reporting

10. Partner with billing, denial management, compliance, and operations teams to resolve coding-related issues.

11. Support internal and external audits by providing documentation, education, and corrective action responses.

12. Assist leadership with coding metrics, productivity tracking, vendor performance monitoring, and quality reporting.

13. Participate in compliance initiatives, policy development, and continuous process improvement efforts.

Qualifications: Knowledge of Medicare and Medicaid regulations as they pertain to ambulance billing. Knowledge of and complete and thorough understanding of HIPAA. Knowledge of health care financial management systems and processes. Knowledge of medical, insurance, and healthcare terminology, industry regulations, and requirements. Knowledge of the International Certification of Disease codes for medical impressions and ambulance transportation codes. Knowledge of complicated multi-system medical terminology and general anatomy. Knowledge of coding audits and Federal, State, and Local rules and regulations regarding medical claims. Knowledge of supervisory and managerial techniques and processes. Skill in oral and written communications.

Education and Experience Requirements: Minimum of two (2) years of supervisory experience. Demonstrated experience in ground ambulance coding. Strong working knowledge of ambulance HCPCS codes, modifiers, ICD-10-CM diagnosis coding, and medical necessity documentation. Education and/or professional credentials may be considered in lieu of direct years of coding experience Ability to interpret and apply Medicare, Medicaid, and commercial payer ambulance billing requirements.

Preferred Credentials Certified Ambulance Coder (CAC) Certified Professional Coder (CPC) Registered Health Information Technician (RHIT) Registered Health Information Administrator (RHIA)

Other Requirements: This is a remote position; however, the employee must be available to travel to Oklahoma City, OK, or Hope, AR, for at least one week each month. Initial training will be conducted onsite at the Oklahoma City office for the first two weeks following hire. Must have access to reliable high-speed internet with a minimum download speed of 20 Mbps. Preference will be given to candidates that reside in Arkansas, Kansas, Louisiana, Mississippi, Oklahoma, or Texas.

Physical Requirements: Ability to safely and successfully perform the essential job functions consistent with the ADA, FMLA and other federal, state, and local standards, including meeting qualitative and/or quantitative productivity standards. Ability to maintain regular, punctual attendance consistent with the ADA, FMLA and other federal, state and local standards. The employee may occasionally be required to lift and/or move up to 20 pounds Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception, and the ability to adjust focus. Work may require sitting, lifting, stooping, bending, stretching, walking, standing, pushing, pulling, reaching, and other physical exertion. Must be able to talk, listen and speak clearly on telephone. Must possess visual acuity to prepare and analyze data and figures, operate a computer terminal, and operate a motor vehicle.

Travel Time: Minimum One Week a Month