• Accurately code diagnoses based on documented information, ensuring compliance with regulatory requirements and that the assigned codes accurately represent the clinical information documented by the provider • Ensure documentation supports appropriate level(s) of care and severity of illness when applying ICD-10, CPT, and other relevant codes for billing and regulatory compliance • Maintain a 95% productivity rate • Communicate with physicians and other healthcare providers to clarify documentation, ensuring that diagnoses and procedures are properly documented in compliance with clinical standards • Issue queries to healthcare providers when documentation appears ambiguous, incomplete, or inconsistent, requesting clarification or additional details be added to the medical record to ensure accurate documentation • Ensure that the queries are compliant with industry standards and regulatory guidelines • Stay updated on current coding guidelines, clinical protocols, and regulatory changes, including Medicare and Medicaid guidelines on billing and coding, to support provider compliance therewith • Assist in improving the quality of clinical documentation to support various quality initiatives, such as HEDIS, CMS, and other contractual or enterprise-initiated performance metrics • Participate in performance improvement projects aimed at improving documentation practices and outcomes • Conduct audits of medical records to identify trends in documentation, both positive and negative, to help the organization improve documentation practices and provider education efforts • Provide ongoing education to clinical staff, coders, and other healthcare providers on best practices in clinical documentation, coding guidelines, and regulatory compliance • Develop training programs to address documentation deficiencies and improve overall documentation quality • Collaborate with departments such as compliance, revenue cycle, and quality management to optimize the documentation improvement process • Other duties consistent with this role, as assigned.

Ensure accurate coding, billing, and reimbursement by reviewing and submitting claims, resolving discrepancies, and collaborating with teams to optimize revenue cycle performance while maintaining compliance with industry standards.

• Utilize available encoder, grouper software, and other coding resources to determine the appropriate ICD-10-CM, CPT, and/or HCPCS including specialty specific codes and Evaluation and Management (E&M) codes • Maintain an understanding and apply knowledge of National Correct Coding Initiatives (NCCI), Local Coverage Documents and National Coverage Documents (LCD/NCD) directives, Medically Unlikely Edits (MUEs), and Medicare Teaching Physician Guidelines

Role Description We are seeking a Supervisor, RCM Coding to lead and support a high-performing coding team within a dynamic Revenue Cycle Management (RCM) environment. This role is ideal for an experienced certified coder with a strong background in emergency medicine coding and PatientKeeper workflows, who is ready to step into a leadership position. You will play a critical role in ensuring accurate, compliant, and timely coding practices, while mentoring team members and driving operational excellence across coding workflows. Key Responsibilities: - Supervise and provide day-to-day direction to the RCM Coding team, ensuring productivity and quality standards are met. - Partner with the Manager of RCM Coding to audit charge capture and coding accuracy, ensuring compliance with ICD-10 CM guidelines. - Train and onboard new coding staff on policies, procedures, and best practices. - Review and resolve coding edits, denials, and charge hold errors within PatientKeeper and MMIS work queues. - Identify coding trends by state and payor and recommend process improvements. - Assist with billing corrections, reconciliation, and risk management-related coding issues. - Manage HR-related responsibilities including hiring, performance management, and payroll support. - Escalate productivity or quality concerns and support continuous improvement initiatives. - Ensure strict adherence to PHI security and compliance standards. Qualifications - High School Diploma or equivalent. - 5+ years of experience as a certified AAPC coder. - Strong knowledge of ICD-10, CPT, and medical terminology. - Experience with claims processing across Medicaid, Managed Care, BCBS, and commercial payors. - Proficiency in coding workflows, charge capture, and billing systems (PatientKeeper experience strongly preferred). - Excellent organizational, analytical, and communication skills. Requirements - 3+ years of supervisory or leadership experience (preferred). - Associate’s or Bachelor’s degree in a related field (preferred). - Certified Obstetrics & Gynecology Coder (COC) or similar specialty certification (preferred). Benefits - A mission-based company with an amazing company culture. - Paid time off & holidays so you can spend time with the people you love. - Medical, dental, and vision insurance for you and your loved ones. - Health Savings Account (with employer contribution) or Flexible Spending Account options. - Employer Paid Basic Life and AD&D Insurance. - Employer Paid Short- and Long-Term Disability with Optional Short Term Disability Buy-up plan. - Paid Parental Leave. - 401(k) Savings Plan with match. - Legal Plan & Identity Theft Services. - Mental health support and resources.