Remote Physician Coding Supervisor - Surgery

Job Family:

Travel Required:

Clearance Required:

The Physician Coding Team Supervisor must be proficient in E/M and surgical coding and can oversee teams reviewing and coding for physician charge capture and claim submission. Supervisors 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 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 American Medical Association, 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 proper action to resolve the claim based on payer guidelines. Supervisors should be proficient in Excel, creating reports as requested and communicate professionally with clients and leadership. Travel may be necessary to client sites. This position is full time and 100% remote.

Responsibilities:

• Proves the ability to perform oversight, training, response to internal and external requests on quality and production of team’s coding, respond to provider and client questions, host Client-facing calls and create reports for coding management on assigned projects in a timely manner. Maintain team goals 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 reach proper documentation promptly according to facility standards.
• Assures assigned coding team maintains 95% accuracy in coding while keeping a prominent level of productivity. Accuracy will be checked during monthly reviews. Supervisors will work with coders on a one-on-one basis …