Job Summary:
The Certified Medical Coder Supervisor is responsible for overseeing the daily operations of the medical coding team. This role ensures accurate coding of diagnoses, procedures, and services performed by healthcare providers, in compliance with all federal, state, and local regulations. The supervisor will manage coding staff, provide training and guidance, perform quality audits, and collaborate with other departments to optimize revenue cycle processes.
Key Responsibilities:
- Supervision & Leadership:
- Lead, mentor, and manage a team of certified medical coders.
- Conduct regular team meetings, performance evaluations, and professional development activities.
- Ensure coding team meets or exceeds productivity and accuracy standards.
- Coding Quality & Compliance:
- Oversee and review coding of patient records to ensure compliance with ICD-10-CM, CPT, and HCPCS coding guidelines.
- Conduct coding audits and quality assurance checks to ensure accuracy and adherence to coding standards.
- Implement corrective actions and provide ongoing education to coding staff to address any deficiencies.
- Process Improvement:
- Identify and implement process improvements to enhance coding accuracy and efficiency.
- Collaborate with the Director of Revenue, billing department, and clinical staff to streamline coding workflows and resolve coding-related issues.
- Stay updated with changes in coding regulations, healthcare laws, and best practices.
- Documentation & Reporting:
- Maintain detailed records of coding activities, audit results, and staff performance.
- Prepare regular reports on coding accuracy, productivity, and compliance for management review.
- Ensure accurate and timely submission of coded data to billing and other relevant departments.
- Training & Development:
- Develop and deliver training programs to coding staff on new coding guidelines, procedures, and regulations.
- Serve as a resource for coding staff to answer questions and provide guidance on complex coding cases.
- Foster a collaborative and supportive work environment.
Qualifications:
- Certification:
- Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or equivalent certification required.
- Experience:
- Minimum of 3-5 years of medical coding experience in a healthcare setting.
- Previous supervisory or leadership experience preferred.
- Skills:
- In-depth knowledge of ICD-10-CM, CPT, and HCPCS coding systems.
- Strong leadership, organizational, and communication skills.
- Proficiency in electronic health records (EHR) systems and medical billing software.
- Ability to manage multiple tasks and prioritize effectively.
- Attention to detail and a commitment to maintaining high coding accuracy and compliance.
Working Conditions:
- Environment:
- Office setting within a healthcare facility.
- May require extended periods of sitting and computer work.
- Hours:
- Full-time position, typically Monday through Friday, with occasional overtime as needed.