Remote Physician Coding Supervisor - Cardiovascular

Job Family:

Travel Required:

Clearance Required:

What You Will Do:

The Physician Coding Team Supervisor must be proficient in Cardiology and Cardiovascular Surgical Coding and E/M services with experience overseeing physician coding teams in the coding of these services. The Supervisor will perform training and initial QA review for coders who are direct reports. Supervisors must have the ability to review clinical documentation and diagnostic results as appropriate to extract data and apply appropriate ICD-10 Diagnosis codes, along with CPT/HCPCS codes as defined for the service type, for coding, billing, internal and external reporting, research as required, and regulatory compliance. 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 as documented and in accordance with ICD-10-CM Official Guidelines for Coding and Reporting, CMS/MAC rules and the CPT rules established by the AMA, and any other official coding guidelines established for use with mandated standard code sets. The Supervisor scope may involve oversight of teams working coding related denials from payers and recommending the appropriate action to resolve the claim based on payer guidelines. Supervisors should be proficient in Excel and create reports as requested and must communicate professionally with all levels of personnel both internally and externally. Travel may be necessary to client sites at times. This position is full time and is 100% remote.

Duties and Responsibilities:

• Demonstrates the ability to perform oversight, training, and respond to internal and external requests regarding quality and production of Team’s coding. Respond to Provider and Client questions, host Client-facing calls and create reports for Coding Management regarding assigned projects in a timely manner. Maintain team goals in order to promote Coder accuracy and efficiency for assigned projects. Work with internal Education resources to promote skillsets of assigned coding team both domestic and global as assigned.

• Maintains a working knowledge of ICD-10 and CPT coding principles, governmental regulations, official coding guidelines, and third-party requirements regarding documentation and billing.

• When reviewing coding work and/or responding to coder or client questions, assures that all services documented in the patient’s chart are properly coded with appropriate ICD-10 and CPT codes. When services/diagnoses are not documented appropriately, work with coders/client to attain proper documentation in a timely manner according to facility standards.

• Assures assigned coding team maintains 95% accuracy in coding while …