Medical Records Technician Coder V-Supervisor

Koniag Advisory Business Solutions, LLC (KABS), a Koniag Government Services company, is seeking an experienced, highly skilled, and mission-focused Medical Records Coder V (Supervisor) to lead a coding team supporting a large-scale healthcare mission serving hospitals and clinics in Oklahoma City, OK. This critical leadership role supports coding and billing for more than 300,000 patient visits, requiring technical expertise, accountability, oversight, and operational leadership.

About the Role

In this role, you will provide direct supervision, technical leadership, and day-to-day oversight of a team that includes Medical Records Coder IV (Lead) and Medical Records Coder III staff. Responsibilities include high-level coding, auditing, documentation integrity, team performance guidance, quality assurance, workflow coordination, and ensuring compliance with reimbursement, regulatory, and contractual requirements. This position is ideal for a senior coding professional with deep technical expertise, leadership skills, and the ability to manage people, priorities, and quality in a high-volume, mission-driven environment.

Schedule and Work Location

This is a hybrid position based in Oklahoma City, Oklahoma. The anticipated project start date is July 1.

• Onboarding/Training: Full-time on-site work (Monday–Friday, 8:00 a.m.–5:00 p.m. CT) at 701 Market Dr, Oklahoma City, OK 73114.
• Core Hours: Generally 9:00 a.m.–3:00 p.m. CT, with flexibility based on client needs.
• Telework Eligibility: Based on demonstrated proficiency and performance. Telework is a temporary privilege and may be adjusted or revoked due to operational, client, or security requirements. Employees approved for telework must:
  • Maintain a dedicated, secure home office workspace.
  • Have a reliable high-speed internet connection.
  • Reside within a reasonable commuting distance of Oklahoma City.
  • Report to the office at least twice every two weeks, or more frequently as needed.

Responsibilities

Supervisory and Team Leadership

• Directly supervise coding staff, including Medical Records Coder IV (Lead) and Coder III personnel.
• Assign, prioritize, and monitor workload to ensure timely completion of coding, abstracting, audit support, and related activities.
• Review team productivity, quality, timeliness, and adherence to coding standards.
• Provide leadership, coaching, technical guidance, and performance feedback.
• Support onboarding, training, mentoring, and development of coding personnel.
• Collaborate with Program Manager, HIM leadership, providers, and business office staff to resolve operational issues.
• Escalate staffing, performance, compliance, or quality concerns to management.
• Assist in developing standard work processes, team procedures, and quality controls.
• Support scheduling, coverage planning, and continuity of operations during peak periods or absences.
• Foster a professional, accountable, and collaborative team environment.

Medical Record Analysis

• Perform or oversee comprehensive analysis of clinical documentation to ensure completeness, consistency, and compliance.
• Ensure diagnoses accurately reflect care rendered and support services billed.
• Identify inconsistencies, discrepancies, or documentation gaps and formulate provider queries.
• Serve as the senior escalation point for complex documentation and coding issues.
• Provide education and feedback to providers and staff on coding requirements and compliance.
• Make final determinations on record completeness for coding and reimbursement.

Medical Record Coding

• Apply expert knowledge of anatomy, physiology, disease processes, and coding conventions to assign and validate ICD-10-CM, ICD-10-PCS, CPT, and HCPCS codes.
• Review complex cases to ensure diagnoses and procedures are valid, complete, and correctly linked.
• Analyze and abstract data to identify secondary diagnoses, complications, and reimbursement-sensitive conditions.
• Review Evaluation and Management levels and ensure appropriate CPT/HCPCS assignment.
• Conduct or oversee coding audits, documentation reviews, and denial trend analysis.
• Provide reports of findings and corrective action recommendations.
• Support coding-related education for medical and business office staff.
• Assist in developing and implementing facility coding policies and procedures.
• Resolve abstracting, EHR workflow, and coding-related system or process issues.

Administrative Support

• Maintain or oversee productivity logs, quality review documentation, and operational reports.
• Support weekly error report review and correction of orphaned visits.
• Maintain communication with business office staff on coding, billing, and reimbursement issues.
• Support provider record completion and monitor documentation deficiencies.
• Participate in committees, work groups, or meetings related to coding, compliance, or reimbursement.
• Provide hands-on coding and HIM support during peak workloads.

Requirements

• High school diploma or equivalent plus 8+ years of progressively responsible experience in medical coding or health information management, or a bachelor’s degree in Health Information Management or related field plus 5+ years of complex coding experience.
• Completion of an accredited Health Information Management or Medical Coding program.
• Current coding certification (e.g., CCS, CPC, RHIA, RHIT); advanced or multiple certifications preferred.
• Demonstrated experience in complex inpatient/outpatient coding, documentation review, and quality analysis.
• Supervisory, team lead, or formal mentoring experience in a coding or HIM environment.
• Expert knowledge of ICD-10-CM/PCS, CPT, HCPCS, reimbursement methodologies, and official coding guidelines.
• Strong understanding of AHIMA, AMA, Medicare, Medicaid, and third-party payer requirements.
• Proficiency in EHR systems, encoder tools, and coding workflow/reporting systems.
• Strong analytical, organizational, leadership, and communication skills.

Preferred Qualifications

• Experience working in Indian Health Service (IHS).
• Supervisory experience in hospital, clinic, multi-site, or federal healthcare settings.
• Expertise in Medicare/Medicaid rules, hospital/clinic billing, and reimbursement requirements.
• Experience conducting audits, training staff, developing policies, or addressing compliance issues.
• Familiarity with RPMS/EHR, HIM operations, business office coordination, or documentation improvement.
• Ability to mentor staff and build cohesive cross-team relationships.
• Interpersonal skills and cultural sensitivity to work constructively with Native American communities.
• Familiarity with HIPAA and healthcare compliance regulations.

Security and Compliance

• Must obtain and maintain a favorable Tier II background investigation (required by IHS).
• Employment contingent on successful completion of credentialing, fingerprinting, and identity proofing.
• Must comply with HIPAA, HITECH, Privacy Act, and IHS privacy/security policies.
• Protect electronic and paper records using required safeguards.
• Complete mandatory privacy, HIPAA, and IT security training.
• Immediately report suspected privacy breaches, security incidents, or unauthorized disclosures.

Benefits

• Health, dental, and vision insurance.
• 401K with company matching.
• Paid holidays, vacation, and sick leave.