Certified Coding Supervisor

Coding, Charge Entry, and Edit Management

• Oversee and support daily workflows for charge entry, coding coordination, and edit resolution.
• Collaborate with coders and clinical teams to ensure charges are accurate, complete, and compliant prior to claim submission.
• Review edit and rejection reports regularly, ensuring timely and accurate resolution of front-end claim errors.
• Identify recurring issues related to coding, provider documentation, or charge entry and escalate trends to the RCM Manager.
• Serve as a liaison between coding staff and providers to support documentation improvement and code accuracy.

Cross-Functional Collaboration

• Work closely with the Patient A/R Supervisor to ensure front-end data integrity supports clean patient balances and minimizes billing issues.
• Partner with the Back-End Supervisor to align workflows related to edits, denials, and payer rejections that originate from front-end errors.
• Collaborate with the RCM Manager to implement changes in workflows based on payer policy updates, denial trends, and compliance findings.
• Participate in cross-departmental workgroups to streamline end-to-end revenue cycle processes and improve first-pass claim acceptance.

Payer Trends and Clean Claim Submission

• Maintain awareness of payer-specific edit trends and address root causes of front-end claim rejections or delays.
• Stay current on payer policy changes, prior authorization requirements, and coding guidelines affecting front-end workflows.
• Recommend and help implement system updates, staff training, or workflow changes in response to payer developments.
• Track and report on front-end-related denial rates, charge lag times, and edit resolution performance.

Staff Supervision and Workflow Support

• Supervise front-end revenue cycle staff workflows, including charge entry, encounter review, and edit resolution.
• Provide daily support and task coordination to ensure charge entry deadlines and clean claim goals are met.
• Aid in onboarding, training, and mentoring staff in front-end processes and payer-specific rules.
• Monitor staff performance metrics and provide constructive feedback to support process consistency and accuracy.
• Cover open shifts or high-volume periods to ensure service level goals are met.
• Provide workflow oversight, assign daily priorities, and support staff in resolving complex issues.
• Promote accountability and a collaborative work environment focused on results and service quality.

Compliance and Quality Control

• Ensure front-end workflows support compliance with payer policies, coding regulations, and internal documentation standards.
• Audit charge entry, coding interfaces, and edit resolution activities to identify and correct quality issues.
• Ensure timely documentation of resolution steps taken on rejected or held charges.