Coding Supervisor

POSITION SUMMARY:

This Coding Supervisor (CS) supervises and directs medical coders with assistance of the Associate Director of Revenue Cycle Management (ADRCM). The CS oversees and coordinates the daily activities of the medical coding team to ensure accurate, timely, and compliant coding of clinical documentation in support of optimal reimbursement and regulatory standards. This leadership role is critical in supporting the revenue cycle and compliance functions, ensuring adherence to federal, state, and payer-specific guidelines.

The CS assists in developing internal coding guidelines, training, and auditing as well as provides feedback to WCCHC physicians and/or professional staff to facilitate monitoring of medical records to reflect accurate and timely documentation of medical services and charges. The CS will perform coding on all diagnoses, procedures, professional services, and supplies following the American Medical Association (AMA) official coding/reporting guidelines and other third-party payer criteria for the purpose of reimbursement, research, and compliance with state and federal regulations.

The CS works in close partnership with the Medical Coder III to provide guidance, escalate complex coding issues, and ensure alignment of coding practices across the team. The role also requires a strong working knowledge of insurance types, payer coverage guidelines, and authorization requirements to ensure claims are billed and coded accurately. The ability to track and trend data related to coding accuracy, denials, and productivity is essential for driving continuous improvement.

EDUCATION/EXPERIENCE:

1. High School Diploma or equivalent education required


2. Minimum of four (4) years of medical coding experience, with at least one (1) year in a supervisory or lead role required

3. Strong knowledge of ICD-10-CM, CPT, E&M, and HCPCS required

4. Current CPC certification or CCS certification required OR e quivalent combination of desired education/certification such as Bachelor's Degree in Health Information Management, Healthcare Administration, Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), Certified coding Specialist (CCS) and/or Certified Coding Specialist-Procedural (CCS-P), Certified Professional Coder (CPC) and work experience required

5. Experience in Electronic Practice Management/Medical Records system required (Nextgen or EPIC preferred)


6. Experience in coding audit required

7. Proficiency with MS Office products including Word, Excel, PowerPoint, and Outlook required


8. Knowledge of insurance and medical coverage required

An Equal Employment Opportunity / Affirmative Action Employer