Coding Supervisor-HHK-Sacaton

Position Summary: The Coding Supervisor is responsible for overseeing the daily operations of the Revenue Cycle Management (RCM) Coding Department, ensuring accurate assignment of diagnostic and procedural codes for healthcare services rendered. This role supervises the coding staff, monitors productivity, conducts quality assurance reviews, and collaborates with healthcare providers and billing teams to optimize coding accuracy, compliance, and reimbursement. Ensures assignments and abstractions are accurate, completed timely and compliant with established standards, requirements, and classification systems. Serves as a resource for the coding team and leads Coders by assigning workload and providing training and education. Coordinates with other medical staff regarding coding processes and guidelines.

Critical Tasks:

• Manages and leads a team of Certified Coders.
• Provides guidance, training, and performance feedback to coding staff.
• Fosters a positive work environment that promotes teamwork and accountability.
• Completes employee performance evaluations and reviews team productivity metrics.
• Ensures accurate and timely assignment of ICD-10, CPT, and HCPCS codes based on medical documentation.
• Reviews and resolves complex coding issues and discrepancies.
• Monitors productivity and coding accuracy metrics to meet departmental goals.
• Coordinates with other medical staff and providers to manage the workflow and ensure the timely completion of claims processing. Performs accurate quantitative analysis is by identifying and revising omissions or inconsistencies in records.
• Communicates with physicians, medical staff, and other departments, such as Accounts Receivable and Health Information Management (HIM), regarding medical documentation, coding concerns, and trends in activities.
• Provides support to Coders during times of high volume, urgent deadlines, or absentees.
• Ensures adherence to coding guidelines, regulations (including HIPPA), and compliance with regulatory requirements.
• Conducts regular coding audit and implements corrective actions as needed.
• Collaborates with compliance officers and auditors during internal and external audits.
• Develops and implements ongoing training programs for coding staff to ensure proficiency in coding standards and updates.
• Provides education on coding changes, best practices, and compliance issues.
• Supports professional development and certification efforts for coding team members.
• Generates coding-related reports and analyze data to monitor key performance indicators (KPIs) such as coding accuracy, productivity, and denial rates.
• Identifies trends and implement strategies to improve coding efficiency and reimbursement outcomes.
• Assists Revenue Cycle leadership with quality assurance initiatives of the coding team and the department.
• Communicates effectively with healthcare providers, patients, and insurance companies regarding billing inquiries, disputes, and appeals.
• Builds and maintains positive relationships with internal and external stake holders.
• Addresses escalated issues and provides timely resolutions to maintain customer satisfaction.
• Performs other job-related activities and requested.

Required Qualifications:

• High School Diploma or GED required; Associate degree in Business Administration or similar field.
• Minimum of 3 years’ experience in medical coding, with at least 1 year in a supervisory of leadership role.
• Certified Professional Coder (CPC) from the American Academy of Professional Coders (AAPC) or similar credentials from an accredited organization required.
• Strong understanding of medical terminology, anatomy, physiology, and disease processes.
• Proficiency in coding software and Electronic Health Records (EHS) systems.
• Exceptionalcommunication,interpersonal,andcustomerserviceskills.
• Previous experience in Medicare, Arizona Health Care Cost Containment System (AHCCCS), private insurance, electronic health records, or Resource and Patient Management System (RPMS), such as NextGen, preferred.
• Certified Professional Biller (CPB) or Certified Professional Coder (CPC) from the America Academy of Professional Coders (AAPC0 or other similar credential from accredited organization preferred.
• Demonstrates ability to relate to diverse cultures and specifically the Gila River Community and/or other Native American cultures and community health services.