Medical Coding Supervisor

Job Family:

Travel Required:

Clearance Required:

What You Will Do:

The Coding Inpatient Outpatient and Pro Fee Team Supervisor must be proficient in medical coding and have experience overseeing coding teams. The Supervisor will conduct training and initial QA reviews for their direct reports. Supervisors must be able to review clinical documentation and diagnostic results as needed to extract data and apply the appropriate ICD10 diagnosis codes CPT/PCS codes and other relevant coding standards. These codes are used for billing internal and external reporting research regulatory compliance and other required purposes. Under the direction of the Coding Manager Supervisors should be proficient in communicating with coding teams client contacts and providers regarding the coding of conditions and procedures. All coding must align with ICD10CM Official Guidelines for Coding and Reporting CMS/MAC rules CPT rules established by the AMA and any other official coding guidelines required for standard code sets. The Supervisors responsibilities may include overseeing teams that work on codingrelated denials from payers and recommending appropriate actions to resolve claims based on payer guidelines. Additionally Supervisors should be proficient in Excel to create reports as requested and must maintain professional communication with all levels of personnel both internally and externally. Travel to client sites may be required at times. This is a fulltime 100 remote position.

Duties and Responsibilities:

• Maintain a working knowledge of ICD10CM PCS and CPT coding principles governmental regulations official coding guidelines and thirdparty requirements regarding documentation and billing

• Demonstrate the ability to perform quality coding and answer questions on inpatient/outpatient surgery clinic emergency room and ancillary services

• Provide training and instruction for new coders including facility specific coding/abstracting guidelines encoder and EMR functionality

• Responsible for following facility specific policies and procedures

• Provide daily support to coders as needed to answer questions relating to the facility

• Review the coding and pending queues daily to ensure all charts are processed in a timely manner and notify administrative staff in the event the twentyfour hour turn around standard cannot be met

• Facilitate daily work assignments to coders and work with the Operations Manager to resolve coder questions and issues

• Send a daily queue status report and communicates to the facility as necessary

• Work directly with the IQC staff to ensure quality standards are being met for each facility

• Coach team members to improve their performance with some input and direction from management. Escalates performance issues as appropriate.

What You Will Need:

• Requires a University degree and a minimum of 5 years of prior relevant experience (Relevant experience may be substituted for formal education)

• 3 years of medical coding experience

• Must maintain credential throughout employment

• Strong working knowledge & experience with Federal & State Coding Regulations and Guidelines

• Must be a US Citizen and willing to undergo a federal background check as part of the onboarding process

• Must hold one of the following credentials: (RHIT RHIA CCS CPC COC)

• Supervisor experience

What Would Be Nice to Have:

• Experience working in any of the following systems: EPIC Cerner Next Gen Allscripts or any other EHR

• Knowledge of Anatomy Physiology and Medical Terminology

• Experience with Coding clinics ICD10CM and PCS

• Experience with Government and other Payer guidelines as they relate to compliant coding

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What We Offer:

Guidehouse offers a comprehensive total rewards package that includes competitive compensation and a flexible benefits package that reflects our commitment to creating a diverse and supportive workplace.

Benefits include:

• Medical Rx Dental & Vision Insurance

• Personal and Family Sick Time & Company Paid Holidays

• Position may be eligible for a discretionary variable incentive bonus

• Parental Leave

• 401(k) Retirement Plan

• Basic Life & Supplemental Life

• Health Savings Account Dental/Vision & Dependent Care Flexible Spending Accounts

• ShortTerm & LongTerm Disability

• Tuition Reimbursement Personal Development & Learning Opportunities

• Skills Development & Certifications

• Employee Referral Program

• Corporate Sponsored Events & Community Outreach

• Emergency BackUp Childcare Program

About Guidehouse

Guidehouse is an Equal Opportunity EmployerProtected Veterans Individuals with Disabilities or any other basis protected by law ordinance or regulation.

Guidehouse will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of applicable law or ordinance including the Fair Chance Ordinance of Los Angeles and San Francisco.

If you have visited our website for information about employment opportunities or to apply for a position and you require an accommodation please contact Guidehouse Recruiting ator via email at . All information you provide will be kept confidential and will be used only to the extent required to provide needed reasonable accommodation.

All communication regarding recruitment for a Guidehouse position will be sent from Guidehouse email domains including @guidehouse or . Correspondence received by an applicant from any other domain should be considered unauthorized and will not be honored by Guidehouse. Note that Guidehouse will never charge a fee or require a money transfer at any stage of the recruitment process and does not collect fees from educational institutions for participation in a recruitment event. Never provide your banking information to a third party purporting to need that information to proceed in the hiring process.

If any person or organization demands money related to a job opportunity with Guidehouse please report the matter to Guidehouses Ethics Hotline. If you want to check the validity of correspondence you have received please contact . Guidehouse is not responsible for losses incurred (monetary or otherwise) from an applicants dealings with unauthorized third parties.

Guidehouse does not accept unsolicited resumes through or from search firms or staffing agencies. All unsolicited resumes will be considered the property of Guidehouse and Guidehouse will not be obligated to pay a placement fee.