Medical Records Technician Coder V-Supervisor

Koniag Advisory Business Solutions, LLC, a Koniag Government Services company , is seeking a Medical Records Technician Coder V-Supervisor to support KABS and our government customer in Oklahoma, OKC. This position requires the candidate to be able to obtain a Public Trust.

This position is covered under the Service Contract Act. We offer competitive compensation and an extraordinary benefits package including health, dental and vision insurance, 401K with company matching, paid holidays, paid Vacation, paid sick leave and more.

Join Our Team Where Precision, Integrity, and Leadership Matter. 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.

Work Schedule and Hybrid Conditions:

This is a hybrid position based in Oklahoma City, Oklahoma. We anticipate July 1 as the project kick-off date. During the first few weeks of onboarding and initial training, employees are required to work on site full-time, Monday through Friday, 8:00 a.m. to 5:00 p.m. CT, at: 701 Market Dr Oklahoma City, OK 73114

Core working hours are generally 9:00 a.m. CT to 3:00 p.m. CT, with exact start and end times determined by the Program Manager. Work hours may flex based on client needs.

Based on demonstrated proficiency and successful performance in all areas of responsibility, employees may become eligible for telework. Telework is a temporary privilege and may be modified or rescinded at any time due to operational, client, business, or security requirements. Employees approved for telework must:

• Maintain a dedicated, secure home office workspace.

• Maintain a reliable high-speed internet connection.

• Reside within a reasonable commuting distance of Oklahoma City.

• Report to the office at least twice every two weeks, and more often as needed for meetings or business requirements.

The purpose of this position is to oversee and perform advanced medical record coding, analysis, documentation review, compliance support, and workflow coordination for all types of hospital and clinic records, including inpatient, day surgery, observation, emergency room, and ambulatory care encounters. This position serves as the supervisory lead for coding operations and is responsible for ensuring the team's work supports accurate data capture, compliant reimbursement, continuity of patient care, and adherence to third-party payer policies, regulatory standards, and accreditation requirements. The Medical Records Coder V (Supervisor) provides direct supervisory oversight to the coding team, including the Coder IV (Lead) and Coder III staff, and serves as the primary resource for escalated coding questions, workflow prioritization, productivity oversight, audit response, provider communication support, and team coaching.

Key Responsibilities:

Supervisory and Team Leadership 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.

Medical Record Analysis:

• 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.

Medical Record Coding:

• 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.

Administrative Support:

• 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.

Required Qualifications:

• 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.

Preferred Qualifications or Experience:

• 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.

Security and Compliance Requirements:

• You must be able to obtain and maintain a favorable Tier II background investigation determination, as required by the Indian Health Service (IHS), as a condition of access to IHS facilities, systems, and data. Employment is contingent upon successful completion of all credentialing, fingerprinting, identity proofing, and security processing required by IHS and any other authorized government offices.

• You must also be able to comply with all applicable medical privacy, records confidentiality, and IT security requirements governing access to patient information and federal systems.

• In this role, you must adhere to HIPAA, HITECH, the Privacy Act, and all IHS privacy and security policies and procedures.

• This includes protecting electronic and paper records, using only authorized systems and approved access methods, maintaining workstation and password security, completing required privacy and IT security training, and immediately reporting any suspected privacy breach, security incident, or unauthorized disclosure.

Compliance Requirements

• 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.

Telework Security Requirements

• If telework is approved, the employee must maintain a dedicated, private workspace suitable for handling confidential information and must use only authorized equipment, approved connections, and secure access methods.

• Telework may be suspended or revoked at any time if privacy, security, operational, or contractual concerns arise.

Candidate Documentation and Pre-Employment Submission Requirements

Final candidates will be required to provide documentation and information necessary to support background investigation, credentialing, and access processing, which may include:

• Government-issued identity documents for identity proofing.

• Information needed for fingerprinting and background investigation processing.

• Current address and prior residence history, as requested.

• Employment history and related verification information, as requested.

• Professional certification and training documentation, as required.

• Any other forms or supporting materials required by IHS, HHS, or authorized security officials.

Our Equal Employment Opportunity Policy

The company is an equal opportunity employer. The company shall not discriminate against any employee or applicant because of race, color, religion, creed, ethnicity, sex, sexual orientation, gender or gender identity (except where gender is a bona fide occupational qualification), national origin or ancestry, age, disability, citizenship, military/veteran status, marital status, genetic information or any other characteristic protected by applicable federal, state, or local law. We are committed to equal employment opportunity in all decisions related to employment, promotion, wages, benefits, and all other privileges, terms, and conditions of employment.

The company is dedicated to seeking all qualified applicants. If you require an accommodation to navigate or apply for a position on our website, please get in touch with Heaven Wood via e-mail at View email address on click.appcast.io or by calling View phone number on click.appcast.io to request accommodations.

Koniag Government Services (KGS) is an Alaska Native Owned corporation supporting the values and traditions of our native communities through an agile employee and corporate culture that delivers Enterprise Solutions, Professional Services and Operational Management to Federal Government Agencies. As a wholly owned subsidiary of Koniag, we apply our proven commercial solutions to a deep knowledge of Defense and Civilian missions to provide forward leaning technical, professional, and operational solutions. KGS enables successful mission outcomes for our customers through solution-oriented business partnerships and a commitment to exceptional service delivery. We ensure long-term success with a continuous improvement approach while balancing the collective interests of our customers, employees, and native communities. For more information, please visit

Equal Opportunity Employer/Veterans/Disabled. Shareholder Preference in accordance with Public Law 88-352

Job Details

Job Family SCA Health Occupations

Pay Type Hourly