RCM Coding Supervisor
RCM Coding Supervisor
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Job Description
We are united in our mission to make a positive impact on healthcare. Join Us!
- South Florida Business Journal Best Places to Work 2024
- Inc. 5000 FastestGrowing Private Companies in America 2024
- 2024 Black Book Awards ranked #1 EHR in 11 Specialties
- 2024 Spring Digital Health Awards Webbased Digital Health category for EMA Health Records (Gold)
- 2024 Stevie American Business Award (Silver) New Product and Service: Health Technology Solution (Klara)
Who we are:
We Are Modernizing Medicine WAMM! Were a team of bright passionate and positive problemsolvers on a mission to place doctors and patients at the center of care through an intelligent specialtyspecific cloud platform. Our vision is a world where the software we build increases medical practice success and improves patient outcomes. Founded in 2010 by Daniel Cane and Dr. Michael Sherling we have grown to over 3400 combined direct and contingent team members serving eleven specialties and we are just getting started! ModMed is based in Boca Raton FL with office locations in Santiago Chile Berlin Germany Hyderabad India and a robust remote workforce with team members across the US.
he Medical Coding Supervisor is a leadership role within ModMed India Operations. They act as subject matter expert (SME) in multispecialty medical coding and documentation requirements and are experts in coding quality assurance auditing. This position supervises our internal coding team and manages processes workflows and functions related to medical coding and auditing. Additionally the Medical Coding Supervisor monitors our global coding partners performance quality of work and coding effectiveness to ensure optimal results for our RCM clients.
They proactively evaluate the responsibilities and productivity of both the internal and global coding teams to ensure high performance and efficiency. The Medical Coding Supervisor regularly meets with their team to understand their performance career goals and development needs. In collaboration with the Manager they provide coaching support and guidance to foster a positive team experience and help team members fulfill the companys mission to enhance practice RCM efficiency and success.
The ideal candidate for this role is resultsdriven decisive and a selfstarter. They are effective communicators resolutionfocused and have a proven track record of leading a team of certified coders internally and globally. The Medical Coding Supervisor is vital in developing workflows and processes supporting productivity accuracy and quality.
Essential Duties and Responsibilities :
- Foster a positive work environment that maximizes individual and team performance through communication training and coaching.
- Communicate monitor and support client and company goals and metrics with team members to create alignment and deliver high levels of customer service.
- Responsible for managing and directing the internal departments daytoday functions and processes.
- Responsible for overseeing and managing the medical coding quality assurance workflow related to initial claims coding and coding denial support for our BOOST customers.
- Proactively identifies opportunities to enhance/improve workflows for efficient productive and successful processes to ensure all claims are collected accurately and timely.
- Assist in creating and maintaining various SOPs/QRGs needed to support all coding workflows for gMed and EMA/PM from highlevel processes to specific functions.
- Conducts recurring meetings with the internal coding team to review processes and global coding workflows spearhead any issues initiate special projects and identify opportunities to streamline coding quality assurance workflows.
- Conducts recurring meetings with our global coding vendors on quality accuracy initial claim coding denial coding review coding trend analysis and other codingrelated topics.
- Provide directives on coding workflow quality accuracy development improving workflows and delegation of work processes among the internal and global teams.
- Meets regularly with global partner teams as well as BOOST Client Success teams.
- Regularly meets with the BOOST onshore coding leadership and team to ensure coding compliance workflows consistency and other needs
- Directly engaging in problemsolving clarification and productiverelated issues with their internal direct reports
- Assists with clientfacing communication regarding the coding of BOOST clients to ensure client success efficiency in coding and coding accuracy.
- Ensure coding and billing compliance are performed monitored and maintained for gGastro/gMed and EMA/PM BOOST clients.
- Collaborate with the medical coding and auditing manager on coding auditing or billing compliance concerns or issues.
- Collaborate or aid in training our internal coding team and global coding partners regarding coding coding denial review and quality assurance accuracy.
- Works with people team partners (e.g. talent acquisition business partner) on all aspects of staffing including interviewing hiring and training employee development etc.
- Conducts individual performance meetings (weekly biweekly or monthly with their team members.
- Performs and contributes to annual and midyear performance evaluations for internal team members.
- Ensures ModMed billing policies and procedures are followed.
- Involvement on the BOOST committee calls to determine if coding involvement or assistance is needed.
- Able to move within different software platforms and verticals to assist coding and BOOST teams with concerns and coding issues.
- Mentor staff to maximize performance potential and efficiency and oversee the training of new onboards for gGastro/gMed or EMA/PM.
- Performs additional projects and job duties as assigned.
Education Requirements
Any bachelors degree (Mandaroty) preferably from life science background
Certification in one of the following: CPC / COC / CCS P
Hold an additional coding certification Such as CPMA or CDEO through AAPC or AHIMA which is preferred
Preferred to hold CPMA with AAPC
Experience and Skills Requirements :
- 5 years of experience as a Certified Professional Coder or Certified Coding Specialist required Physicianbased
- 3 years of supervisory experience in leading a team of certified coders required
- 3 years of multispecialty medical coding billing and denial coding experience required GI Podiatry Orthopedics ENT Ophthalmology and OBGYN)
- 2 years of coding quality assurance experience required
- Certified as a CPMA (Certified Professional Medical Auditor) is preferred but can be obtained after onboarding
- Exceptional written verbal and interpersonal communication skills required; working closely within a collaborative
- Expertise in developing procedures protocols and team workflows for efficiency
- Expert knowledge in medical coding auditing quality assurance and billing
- Expertise in medical record review and documentation requirements
- Understanding of various insurance carriers including Medicare private HMOs PPOs Capitation and Workers Comp
- Developmental skills for creating maintaining and implementing coding guidelines workflows and process improvements
- Strong knowledge of Google applications and Microsoft programs (Word and Excel)
- Ability to motivate coach and develop teams as well as train and guide others in workflows and projects
- Ability to multitask and delegate appropriately
- Excellent time management and organizational skills
- Excellent customer service and people skills
- Ability to work collaboratively in a team environment
- Proven experience and commitment to actively promoting a positive work environment and developing an employeefocused supportive workplace aligning with ModMeds culture.
- Understanding and compliance with HIPAA federal regulations and other privacy requirements
- Acquire and maintain coding knowledge for all scopes of coding and maintain credentials
- Must be committed to developing expertise in respective ModMed products (PM and gPM) within three months of employment
- Work from office
- Should be Flexible with shift timings.
ModMed Benefits Highlight: At ModMed we believe its important to offer a competitive benefits package designed to meet the diverse needs of our growing workforce. Eligible Modernizers can enroll in a wide range of benefits:
India
- Meals & Snacks: Enjoy complimentary office lunches & dinners on select days and healthy snacks delivered to your desk
- Insurance Coverage: Comprehensive health accidental and life insurance plans including coverage for family members all at no cost to employees
- Allowances: Annual wellness allowance to support your wellbeing and productivity
- Earned casual and sick leaves to maintain a healthy worklife balance
- Bereavement leave for difficult times and extended medical leave options
- Paid parental leaves including maternity paternity adoption surrogacy and abortion leave
- Celebration leave to make your special day even more memorable and companypaid holidays to recharge and unwind.
United States
- Comprehensive medical dental and vision benefits including a company Health Savings Account contribution
- 401(k): ModMed provides a matching contribution each payday of 50 of your contribution deferred on up to 6 of your compensation. After one year of employment with ModMed 100 of any matching contribution you receive is yours to keep.
- Generous Paid Time Off and Paid Parental Leave programs
- Company paid Life and Disability benefits Flexible Spending Account and Employee Assistance Programs
- Companysponsored Business Resource & Special Interest Groups that provide engaged and supportive communities within ModMed
- Professional development opportunities including tuition reimbursement programs and unlimited access to LinkedIn Learning
- Global presence and inperson collaboration opportunities; dogfriendly HQ (US) Hybrid officebased roles and remote availability for some roles
- Weekly catered breakfast and lunch treadmill workstations Zen and wellness rooms within our BRIC headquarters.
PHISHING SCAM WARNING:ModMed is among several companies recently made aware of a phishing scam involving imposters posing as hiring managers recruiting via email text and social media. The imposters are creating misleading email accounts conducting remote interviews and making fake job offers in order to collect personal and financial information from unsuspecting individuals. Please be aware that no job offers will be made from ModMed without a formal interview process and valid communications from our hiring team will come from our employees with a ModMed email address . Please check senders email addresses carefully. Additionally ModMed will not ask you to purchase equipment or supplies as part of your onboarding process. If you are receiving communications as described above please report them to the FTC website.
Required Experience:
Manager
Employment Type
Full Time
