Medical Coder Supervisor

About the role

The Medical Coding Supervisor will lead and manage the medical coding team, ensuring that all medical records are accurately, efficiently, and compliantly coded. This role is responsible for overseeing the team’s performance, ensuring adherence to coding standards, training staff, and collaborating with various departments to resolve coding issues.

Responsibilities

• Acts as staff resource and role model for ethical, professional conduct.
• Supervises and provides leadership to the medical coding team, ensuring accurate, compliant, and timely coding of medical records.
• Reviews and audits coded data to ensure accuracy and compliance with ICD-10, CPT, and HCPCS standards.
• Trains and mentors new and existing staff on coding practices, billing procedures, and updates to coding regulations.
• Serves as a resource for coding-related queries and troubleshooting, providing guidance and support to coders as needed.
• Makes sure team performance is monitored, goals are established, and performance evaluations are conducted to ensure high standards of quality and productivity.
• Participates in the hiring, onboarding, and ongoing training processes of credentialing specialists.
• Delegates duties and projects to appropriate staff, and monitors for accurate and prompt completion.
• Demonstrates knowledge of safety policies and procedures and actively maintains a safe and positive work environment.
• Carries out other assignments or special projects as required.

Role Specific Functions

• Collaborates with the billing, compliance, and clinical teams to resolve coding issues, disputes, and rejections.
• Ensures adherence to HIPAA regulations and maintain confidentiality of patient information at all times.
• Maintains current knowledge of coding updates, industry trends, and compliance standards to ensure the team’s coding practices are up-to-date.
• Reports on coding accuracy and performance metrics to management, recommending improvements or changes as necessary.
• Aids in the development and implementation of policies and procedures to improve coding accuracy and efficiency.

Qualifications

• High school diploma or equivalent required; Associate’s degree in Health Information Management, Healthcare Administration, or a related field preferred.
• Certification as a Certified Professional Biller (CPB) or similar medical billing certification required.
• Minimum of 3-5 years of experience in medical billing, with at least 1 year of supervisory or leadership experience.
• Experience with coding software and electronic health records (EHR) systems.
• Knowledge of ICD-10, CPT, HCPCS coding systems, and payer-specific guidelines.
• Experience in healthcare billing, reimbursement, and compliance is highly preferred.

Skills and Abilities

• Strong knowledge of medical terminology, anatomy, and clinical procedures.
• In-depth understanding of coding practices, guidelines, and regulatory requirements.
• Excellent leadership, coaching, and mentoring skills.
• Strong organizational and time-management skills with the ability to manage multiple tasks and priorities.
• Ability to analyze and resolve coding discrepancies and challenges.
• Proficient in Microsoft Office Suite and medical coding software applications.
• Strong communication and interpersonal skills, with the ability to work effectively with cross-functional teams.
• Detail-oriented with a high level of accuracy and attention to detail.
• Ability to maintain confidentiality and comply with HIPAA regulations.