Ambulance Coding Supervisor

Supervision & Leadership

• Supervise and support a team of internal ambulance coders, including work distribution, productivity monitoring, performance feedback, and accountability.
• Monitor and manage coding quality, productivity, and compliance for offsite/contracted coding vendors.
• Serve as a subject-matter expert for ground ambulance coding rules, modifiers, and documentation requirements.
• Aid with onboarding, training, and ongoing education for both internal staff and contracted coders.
• Develop, maintain, and enforce coding workflows, desk procedures, and quality standards.

Coding & Compliance Oversight

• Ensure accurate coding of ALS/BLS services, mileage, modifiers, and specialty care transports (SCT) in accordance with CMS, Medicare, Medicaid, and commercial payer guidelines.
• Conduct routine quality assurance (QA) audits of coded claims from both internal and vendor coders and provide corrective feedback.
• Identify error trends, compliance risks, and training gaps and implement corrective action plans as needed.
• Stay current on CMS guidance, NCCI edits, OIG work plans, LCDs (when applicable), and state-specific Medicaid requirements.

Collaboration, Audits & Reporting

• Partner with billing, denial management, compliance, and operations teams to resolve coding-related issues.
• Support internal and external audits by providing documentation, education, and corrective action responses.
• Aid leadership with coding metrics, productivity tracking, vendor performance monitoring, and quality reporting.
• 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.
• Skills 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.