Professional Coding Supervisor

About the Role

Supervises hospital or professional coding staff and assists the management team in the day-to-day operations of the department, focusing on reimbursement, coding, abstracting, and education. This position helps implement and facilitate ongoing medical coding, abstracting, auditing, monitoring, and physician/coder educational activities for existing and new clinics, locations, and hospitals. The role ensures compliance with all federal and state coding healthcare rules, regulations, administrative requirements, and guidance. Serves as a positive role model for all staff and a representative of the department.

Responsibilities

• Supervises coding staff and assists the management team in daily operations related to reimbursement, coding, abstracting, productivity, quality, and education.
• Ensures coding backlogs, work queues, and charge lag remain at acceptable levels.
• Acts as an expert coding resource for coders, providers, revenue cycle, specialty groups, and meetings.
• Manages personnel, including interviewing, hiring, coaching, counseling, discipline, and performance evaluation in conjunction with management.
• Develops and maintains coding-related policies, procedures, and training materials.
• Identifies budgetary needs and maintains fiscal stewardship.
• Conducts and/or oversees internal and external auditing to ensure compliance with medical record documentation, coding, and billing guidelines.
• Works with staff to analyze and resolve issues impacting coding and billing.
• Maintains effective, open, and ongoing communication.
• Extracts, analyzes, and reports data to the appropriate management team.
• Serves as a liaison to vendors and provides input and tests information systems.
• Assists in staff coding as needed.

Requirements

• High School Diploma or Equivalent.
• Current HIM/Coding Certification through one of the following:
  • American Health Information Management Association (AHIMA)
  • American Academy of Professional Coders (AAPC)
• Five (5) years of medical coding experience.

Preferred Qualifications

• Associate’s degree or higher in Health Information Management or a related field.
• Previous clinical experience as an RN, LPN, or Medical Assistant (highly desirable).
• Extensive experience in ICD-10-CM, ICD-10-PCS, CPT, MS-DRG, HCC, and APR-DRG assignment for hospital supervising positions and multi-specialty coding.
• Experience with E&M coding, procedural/surgical coding, and knowledge of governmental billing and coding regulations, including the “Teaching Physician Guidelines” for professional coding supervisors.
• Previous supervisory or project management experience.
• Seven (7) years of medical coding experience.

Skills and Abilities

• Excellent written and verbal communication skills, as well as interpersonal skills.
• Knowledge of provider healthcare compliance, revenue cycle operations, and auditing techniques.
• Ability to mentor, educate, and train others.
• Ability to ensure quality and productivity standards.
• Ability to handle high-stress and critical situations calmly and professionally.
• Ability to concentrate and maintain accuracy during constant interruptions.
• Independent decision-making ability.
• Ability to prioritize job duties.
• Adaptability to changes in the workplace and work assignments.
• Strong organizational and time management skills.
• Knowledge of anatomy, physiology, and medical terminology.
• Analytical and problem-solving skills.
• Proficiency in office software programs, including medical record and billing systems.
• Ability to analyze complex data and reports.

Physical Requirements

• Ability to sit for long periods of time.
• Visual and hearing acuity within the normal range.
• Manual dexterity needed to operate computer and office equipment.
• Ability to lift, push, or pull 10-20 pounds.

Working Environment

• Standard office environment.
• Visual strain may be encountered in viewing computer screens, spreadsheets, and other written material.
• May require travel.

Schedule

Scheduled Weekly Hours: 40. Shift: Day. Exempt status.