Medical Coding Supervisor - Must have a NM Residence

Summary

Oversees the daily operations of a medical coding team, ensuring compliance with Federal, State, and third-party billing regulations. Assists in the planning, organizing, staffing, and daily operations of the coding area to ensure timely completion of medical record coding reviews, revenue cycle initiatives, and serves as a subject matter expert on documentation and coding requirements to ensure optimal reimbursement and compliance with regulatory compliance.

Develops and analyzes reports to monitor and enhance coding accuracy, operational efficiency, and equitable workload distribution. Identifies, recommends, and implements opportunities for operational improvements within medical coding processes. This position serves as a collaborative resource to other departments, providers, leadership and revenue cycle staff on organizational projects and initiatives.

Duties And Responsibilities

• Supervises the daily operations and performance of the medical coding team; provides onboarding, work allocation and scheduling, training, monitoring of results, and supports employee development and engagement;
• Enforces internal procedures and controls, and problem resolution;
• Evaluates performance issues and facilitates corrective action;
• Motivates employees to achieve peak productivity;
• Ensures that medical coding is conducted in compliance with Federal, State, and payer regulations, guidelines, and requirements;
• Provides ongoing training and education to staff on new department policies, coding rule changes, and updated payer requirements;
• Maintains key performance indicators (KPIs), generates status reports, and analyzes data to track individual and team performance and revenue capture effectiveness;
• Improves accuracy, efficiency, and equitable workload distribution among coding staff;
• Assists in the development and implementation of coding policies and procedures, in accordance with Federal and State regulations and UNMMG policies and procedures;
• Conducts quality reviews and coding audits to identify and resolve coding, process, and billing issues;
• Collaborates with other teams to prevent and resolve denials;
• Aids in the planning and implementation of improvement in operations;
• Works with physicians and relevant departments to provide technical coding and billing education and communicates medical documentation policies to foster collaboration in training, needs assessment and action planning for operational improvement;
• Provides feedback to providers regarding results and findings from billing/coding reviews/audits, medical records documentation deficiencies, and/or requests clarification of documentation components;
• Plans, conducts and supervises billing and coding compliance reviews/audits and reports significant findings, analyzes, explains and recommends coding edits that are needed as a result.

Minimum Job Requirements

• Medical Coding Supervisor
• High School diploma or GED
• 3 years of medical coding experience; 1 year experience in a supervisory role
• Certification in at least one of the following: CPC, CPC-P, CCS, CCS-P, RHIA, or RHIT

Why Join UNM Medical Group, Inc?

• Competitive Salary & Benefits: UNMMG provides a competitive salary along with a comprehensive benefits package.
• Insurance Coverage: Includes medical, dental, vision, and life insurance.
• Additional Perks: Offers tuition reimbursement, generous paid time off, and a 403b retirement plan for eligible employees.