Review and analyze medical record documentation for accurate coding of surgical procedures. Collaborate with surgeons to ensure coding precision and adhere to healthcare billing standards while maintaining comprehensive knowledge of medical terminology...

Coding Supervisor locations Remote - Nationwide time type Full time job requisition id R044969 O.N.E Purpose: - Customer Obsession: Consistently provide exceptional experiences for our clients, patients, and colleagues by understanding their needs and exceeding their expectations. - Embracing New Ideas: Continuously innovate by embracing emerging technology and fostering a culture of creativity and experimentation. - Striving for Excellence: Execute at a high level by demonstrating our “Best in KLAS” Ensemble Difference Principles and consistently delivering outstanding results. The Opportunity: CAREER OPPORTUNITY OFFERING: - Bonus Incentives - Paid Certifications - Tuition Reimbursement - Comprehensive Benefits - Career Advancement - This position pays between $57,400 to $86,100 annually based on experience The Coding Supervisor is responsible for the day-to-day coding activities for the respective acute care or physician facilities within the company. This includes assisting the Manager and/or Director, and/or Coding Sr. Leader, with duties assigned to assure Accounts Receivable and Discharged Not Billed goals are met. Job Responsibilities: - The supervisor is responsible for the staffing, organizing and directing of coding activities within a given facility under the direction of the market Coding Manager. They will coach (SMART Responsibilities where applicable), develop, complete timely performance evaluations and discipline those staff members under their responsibility as needed. - Assists with the creation and delivery of educational presentations/material related to coding. - Monitors progress and achievement of coding goals and objectives and reports such information in a timely manner as requested by leadership. - Monitors workflow, productivity and quality of coding and abstracting functions per system guidelines. Performs routine audits of work performed by all staff members. - Maintains knowledge of all federal and state rules and associated coding guidelines. - Assists in the development of policies and procedures and monitors staff compliance with policy and procedures. - Acts as site resource person for coding related questions, to include assisting members of the medical staff and members of the management team. - Completes staff schedules and timecards according to Company policy. Holds staff accountable for compliance with paid time off, (PTO) policies. - Acts as a technical resource and assists with resolution of technical issues and/or works with appropriate staff/department to rectify technical issues impeding the functions of the coding team. - If workload demands, accurately assigns codes to any medical record in conformance with American Hospital Association, (AHA) coding guidelines and/or financial payer requirements. Assigns appropriate modifiers and present on admission, (POA) indicators as necessary. Assigns appropriate Diagnosis Related Group, (DRG) to reflect the documentation within the medical record. Experience We Love: - 3 years of coding experience in either pro-fee or acute care setting to include inpatients, outpatients, and emergency department records or provider coding. - Leadership experience - Satisfactory completion of Anatomy and Physiology as well as Medical Terminology. - Thorough working knowledge of coding classification systems to include Diagnosis Related Groups, (DRGs) and All Patient Refined - Diagnosis Related Groups, (APR-DRGs.) - Knowledge of Clinical Documentation and query processes. - Ability to function independently with minimal supervision, as well as part of a team. - Knowledge of medical record content to include electronic medical records, (EMRs.) - Ability to function under continual deadlines. Ability to maintain accuracy during frequent interruptions. - Proficiency in keyboarding skills and working knowledge of computers. - Excellent communication skills. - Demonstrated advanced usage of AI and the management of teams using AI to lean in to process and technological improvements, to include the exploration, experimentation, and application of AI. - This is a remote position; however, candidates must be willing and able to travel to and work onsite at client, temporary, or corporate office locations as business needs require. Minimum Education: - Bachelors Degree or Equivalent Experience Certification Required: Candidates must have and keep current at least one of the following professional certifications (CPC, CPMA or CCS Preferred): - CCS (Certified Coding Specialist) - CIC (Certified Inpatient Coder) - COC (Certified Outpatient Coder) - CPC (Certified Professional Coder) - CPMA (Certified Professional Medical Auditor) - RHIA (Registered Health Information Administrator) - RHIT (Registered Health Information Technician) AND - HFMA Certified Revenue Cycle Representative (CRCR) or completion within 9 months #LI-HB1 #LI-REMOTE Bottom line, we believe in empowering people and giving them the tools and resources needed to thrive. A few of those include: - Associate Benefits – We offer a comprehensive benefits package designed to support the physical, emotional, and financial health of you and your family, including healthcare, time off, retirement, and well-being programs. - Our Culture – Ensemble is a place where associates can do their best work and be their best selves. We put people first, last and always. Our culture is rooted in collaboration, growth, and innovation. - Growth – We invest in your professional development. Each associate will earn a professional certification relevant to their field and can obtain tuition reimbursement. - Recognition – We offer quarterly and annual incentive programs for all employees who go beyond and keep raising the bar for themselves and the company.

Role Description Brijlent is seeking a detail-oriented Certified Medical Coder / Medical Record Audit Specialist to support coding accuracy, medical record review, and billing compliance activities for Indiana Medicaid programs. This role is responsible for: - Reviewing medical records and claims-related documentation for coding accuracy. - Identifying billing and compliance issues. - Preparing audit documentation and reports. - Supporting appeals activities. The ideal candidate brings strong coding knowledge, regulatory awareness, and analytical and writing skills. This is a remote position with occasional travel required within Indiana. Qualifications - Coding certification such as CCS, CPC, or CPMA required. - At least 1 year of medical coding, claims review, billing compliance, or related healthcare reimbursement experience. - Familiarity with Indiana Medicaid policies, payer guidelines, and documentation requirements preferred. - Candidate located in or near the Indianapolis area preferred. - Proficiency in Microsoft Excel, Word, and Outlook. - Strong analytical, critical thinking, problem-solving, and technical writing skills. - Ability to work independently and collaboratively in a fast-paced environment. - Experience working with healthcare providers strongly preferred. - Knowledge of healthcare claims data and fraud, waste, and abuse preferred. Requirements - Maintain detailed workpapers documenting procedures performed, records reviewed, findings identified, and conclusions reached. - Assist with audit responses and appeals as needed. - Ensure all work aligns with state, federal, and national coding and reimbursement guidelines. - Stay current on CPT, HCPCS, ICD-10-CM, and Medicaid coding guidelines, policies, and regulatory updates. - Research Indiana Medicaid rules and maintain internal repositories of bulletins, policies, and procedures. - Adapt quickly to changing priorities, policies, regulatory updates, and review requirements while maintaining accuracy and meeting deadlines. Company Description Briljent is a solutions-based company. Solutions come from creative ideas; ideas come from being creative with differences. Briljent believes diversity and inclusion are critical to the success of the company. Employment at Briljent is based on merit and professional qualifications. We do not discriminate against any employee or applicant because of race, creed, color, religion, gender, sexual orientation, national origin, disability, age, veteran status, marital status or any other basis protected by federal, state or local law, regulation or ordinance.

Role Description This position is in Health Information Management (HIM) Service at the VA St. Louis Health Care System (VASTLHCS). Supervisor MRT (Coder Outpatient) are skilled in classifying medical data from patient health records in the hospital setting, and/or physician-based settings, such as physician offices, group practices, multi-specialty clinics, and specialty centers. Supervisory Medical Records Technicians (Coder Outpatient) analyze and abstract patients' health records, and assign alpha-numeric codes for each diagnosis and procedure. To perform this task, they must possess expertise in the International Classification of Diseases (ICD), Current Procedural Terminology (CPT), and the Healthcare Common Procedure Coding System (HCPCS). Supervisory MRT (Coder Outpatient) will lead the outpatient coding department and provide education related to coding and documentation. Major duties and responsibilities include, but are not limited to the following: - Perform all duties of an MRT (Coder Outpatient). - Monitor regulatory and policy requirements. - Supervise, manage and direct coding staff. - Evaluate performance of subordinate staff. - Serve as an expert coding resource. - Required to train others on the encoder product suite. - Ensure audits for accuracy and integrity of coding. - Resolve claim edits referred to management. - Ensure claim denials related to coding errors are resolved. - Provide education to clinical and coding staff. - Distribute and balance the workload among employees. - Assess current audit findings. - Evaluate the impact on coding and documentation practices. - Create and monitor outpatient reports. - Participate in the formulation of objectives and strategies. - Assist facility staff with documentation requirements. - Use a variety of computer applications in day-to-day activities/duties. - Respond to needs of customers while supporting the VA mission. - Maintain privacy and confidentiality of printed and electronic files. - Follow established security policies regarding passwords, PC security, document disposal, etc. Work Schedule Monday - Friday; 8:00am - 4:30 pm Pay Competitive salary and regular salary increases. When setting pay, a higher step rate of the appropriate grade may be determined after consideration of higher or unique qualifications or special needs of the VA (Above Minimum Rate of the Grade). Paid Time Off - 37-50 days of annual paid time off per year (13-26 days of annual leave, 13 days of sick leave, 11 paid Federal holidays per year). - Selected applicants may qualify for credit toward annual leave accrual, based on prior work experience or military service experience. Parental Leave After 12 months of employment, up to 12 weeks of paid parental leave in connection with the birth, adoption, or foster care placement of a child. Child Care Subsidy After 60 days of employment, full-time employees with a total family income below $144,000 may be eligible for a childcare subsidy up to 25% of total eligible childcare costs for eligible children up to the monthly maximum of $416.66. Retirement Traditional federal pension (5 years vesting) and federal 401K with up to 5% in contributions by VA. Insurance Federal health/vision/dental/term life/long-term care (many federal insurance programs can be carried into retirement). Telework This position is remote work eligible and is currently exempted from return to office requirements. Remote exempted positions are reviewed annually and do not imply permanent remote work status. Virtual This is not a virtual position. Qualifications - United States Citizenship: Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy. - Experience and Education or Experience: One year of creditable experience that indicates knowledge of medical terminology, anatomy, physiology, pathophysiology, medical coding, and the structure and format of health records. - Education: An associate's degree from an accredited college or university recognized by the U.S. Department of Education with a major field of study in health information technology/health information management, or a related degree with a minimum of 12 semester hours in health information technology/health information management. - Completion of an AHIMA approved coding program, or other intense coding training program of approximately one year or more that included courses in anatomy and physiology, medical terminology, basic ICD diagnostic/procedural, and basic CPT coding. - Experience/Education Combination: Equivalent combinations of creditable experience and education are qualifying for meeting the basic requirements. Certification - Persons hired or reassigned to MRT (Coder) positions in the GS-0675 series in VHA must have either: - Apprentice/Associate Level Certification through AHIMA or AAPC. - Mastery Level Certification through AHIMA or AAPC. - Clinical Documentation Improvement Certification through AHIMA or ACDIS. Grade Determinations Supervisory Medical Record Technician (Coder Outpatient) GS-10: - Experience: One year of creditable experience equivalent to the next lower grade level. - Certification: Employees at this level must have a mastery level certification. Demonstrated Knowledge, Skills, and Abilities - Ability to perform a full range of supervisory duties, including recommending awards, approving leave, evaluating work, resolving staff issues, and assigning, planning, and coordinating work. - Advanced knowledge of current coding classification systems such as ICD, CPT, and HCPCS for the subspecialty being assigned. - Ability to provide or coordinate staff development and training. - Leadership and managerial skills, including skill in interpersonal relations and conflict resolution. - Ability to collect and analyze data, identify trends, and present results in various formats. Preferred Experience - 3+ years of experience coding -OR- 1 year experience as an Auditor/Lead/Supervisor. Physical Requirements Use of computerized systems.