Supervisor, Revenue Cycle and Coding Specialist

Supervisor - Revenue Cycle And Coding Specialist

The Supervisor - Revenue Cycle and Coding Specialist serves as the primary subject matter expert for coding quality, provider education, and documentation improvement initiatives across Revenue Cycle and clinical operations. This role functions as the primary liaison between Revenue Cycle, clinical providers, and coding teams, supporting documentation and coding improvement through education and collaboration. This role leads initiatives to improve documentation integrity, coding accuracy, compliant charge capture, and revenue performance through targeted provider education, coding audits, workflow evaluation, and continuous improvement strategies. The position translates complex coding and regulatory expectations into actionable clinical guidance and supports standardized documentation and coding practices across the organization. Through prospective and retrospective audits, the role identifies documentation gaps, coding inaccuracies, denial drivers, and compliance risks, and partners with clinical, operational, coding, and compliance leadership to drive measurable improvement in provider documentation quality and reimbursement outcomes. This position functions as an embedded operational partner within the revenue cycle, proactively identifying risks before they result in denials, rework, compliance exposure, or revenue leakage. This role supports the development, implementation, maintenance, and continuous improvement of coding quality and provider education initiatives through collaboration with Revenue Integrity leadership, operational leaders, and clinical stakeholders. The role supports the organization's transition from reactive downstream coding correction to proactive, audit-driven provider education and standardized documentation improvement. This role partners closely with Compliance but does not establish regulatory policy or perform compliance oversight activities. The position focuses on operational coding quality, provider education, documentation improvement, and revenue cycle optimization.

Responsibilities

Essential Functions:

• Supervise assigned coding quality and provider education staff, including assigning and monitoring workload, establishing priorities, and ensuring timely completion of departmental objectives.
• Provide coaching, mentoring, performance feedback, and professional development to assigned staff. Participate in hiring, onboarding, performance evaluations, and corrective action in collaboration with Revenue Integrity leadership.
• Lead and deliver one-on-one and group education to providers regarding documentation requirements, coding guidelines, regulatory updates, coding quality, and compliant charge capture practices.
• Develop and implement specialty-specific provider education initiatives based on audit findings and coding trends.
• Support the development, implementation, and continuous improvement of coding quality and provider education initiatives, including audit methodologies, education standards, reporting tools, and workflow resources.
• Promote standardized documentation and coding practices across providers and coding teams to reduce operational variability and dependency on tribal knowledge.
• Conduct prospective and retrospective coding audits to assess documentation quality, coding accuracy, compliance risk, and workflow effectiveness.
• Identify trends and escalate patterns of documentation deficiencies, coding errors, denial drivers, and operational risks.
• Present audit findings and corrective action recommendations to providers, coding teams, and operational leadership.
• Partner with revenue cycle, operational, compliance, and clinical leadership to improve documentation integrity, reduce denials, and optimize reimbursement outcomes.
• Coordinate and lead assigned coding education and documentation readiness initiatives for new service lines, workflows, regulatory updates, and organizational changes.
• Provide audit-driven feedback, education, and coding guidance to coding staff to support standardized coding practices and documentation quality improvement.
• Evaluate documentation and charge capture workflows and recommend operational improvements that support revenue integrity and compliance.
• Develop and maintain provider education resources, coding guidance documents, audit tools, workflows, and reference materials.
• Monitor adherence to coding guidelines, payer requirements, and organizational documentation standards, identifying opportunities for provider education and coding quality improvement.
• Track, analyze, and report audit outcomes, documentation quality trends, provider improvement metrics, and operational performance indicators to support leadership decision-making and targeted education initiatives.
• Identify opportunities to improve revenue cycle operations relative to quality, cost, compliance, and operational effectiveness using dashboards, KPIs, and benchmarking against industry standards.
• Perform other duties as assigned.

Knowledge, Skills and Abilities:

• Advanced knowledge of ICD-10, CPT, HCPCS, and E/M documentation guidelines.
• Strong understanding of Medicare, Medicaid, and commercial payer policies.
• Ability to conduct coding audits and interpret regulatory guidance.
• Strong provider education, presentation, and communication skills.
• Ability to translate complex coding regulations into actionable clinical guidance.
• Analytical ability to identify coding trends, denial patterns, and compliance risks.
• Strong organizational, reporting, and process improvement skills.
• Ability to develop credibility, establish rapport, and maintain productive communication with stakeholders at multiple organizational levels.
• Ability to lead cross-functional initiatives and influence operational improvement across teams and stakeholder groups.
• Develop and maintain strong and favorable internal and external relationships.

Qualifications

Education:

• High School Diploma or equivalent (higher degree accepted) - Required
• Associates Degree (higher degree accepted) - Preferred

Work Experience:

• Five (5) years of Professional coding, auditing, revenue integrity, or provider education experience in a multi-specialty outpatient or professional billing environment - Required
• Five years Experience Coding audits, provider education, documentation improvement, and revenue integrity initiatives - Preferred
• 3 years Experience working with electronic health record systems (Epic preferred) - Preferred

Licenses and Certifications:

• CPC or CCS-P Certified Professional Coder through AAPC or Certified Coding Specialist Physician- Based through AHIMA - Upon Hire - Required
• ***AND at least one of the following:***
• CPMA Certified Professional Medical Auditor - Upon Hire - Required - OR-
• CRC Certified Risk Adjustment Coder - Upon Hire - Required - OR-
• CCDS Certified Clinical Documentation Specialist - Upon Hire - Required - OR-
• CDIP Certified Documentation Improvement Practitioner - Upon Hire - Required