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Medical Coding Supervisor
Guidehouse. Supervise inpatient, outpatient, and professional-fee coding teams .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in medical coding, including ICD-10, CPT, and PCS coding, while ensuring compliance with federal and state regulations. Proven ability to lead and train coding teams, manage coding operations, and maintain high-quality standards in clinical documentation.
Highest-signal resume keywords
Medical Coding ExperienceICD-10 CodingPeople LeadershipFederal & State Coding RegulationsEHR Systems Experience
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
ICD-10 Diagnosis CodingCPT CodingPCS CodingClinical Documentation ReviewQuality Assurance ReviewData ExtractionExcel ReportingCoding Guidelines ApplicationPayer Denial ResolutionTraining & Development
Soft Skills
CommunicationCoachingTeam LeadershipProblem SolvingCollaboration
Tools & Technologies
EPICCernerNext GenAllscriptsEMR Functionality
Certifications & Qualifications
RHITRHIACCSCPCCOC
Industry Keywords
Inpatient CodingOutpatient CodingRegulatory ComplianceMedical TerminologyAnatomyPhysiologyGovernment Payer GuidelinesCoding Clinics
About the role
Key responsibilities & impact- Supervise inpatient, outpatient, and professional-fee coding teams
- Perform training and initial QA review for direct-report coders
- Review clinical documentation and diagnostic results to extract data and apply ICD-10 diagnosis, CPT, and PCS codes
- Support coding, billing, internal and external reporting, research, and regulatory compliance
- Communicate with coding teams, client contacts, and providers regarding coding of documented conditions and procedures
- Apply ICD-10-CM Official Guidelines, CMS/MAC rules, AMA CPT rules, and other mandated coding guidelines
- Oversee coding-related payer denials and recommend actions to resolve claims
- Create Excel reports as requested
- Maintain coding knowledge, regulations, documentation, billing, and third-party requirements
- Answer coding questions across inpatient/outpatient surgery, clinic, emergency room, and ancillary services
- Train new coders on facility-specific guidelines, encoder, and EMR functionality
- Provide daily coder support and follow facility policies and procedures
- Review coding and pending queues daily and escalate inability to meet the 24-hour turnaround standard
- Facilitate coder work assignments and resolve questions with the Operations Manager
- Send daily queue status reports and communicate with facilities
- Work with IQC staff to ensure facility quality standards
- Coach team members and escalate performance issues as appropriate
- Travel to client sites may be necessary at times
Requirements
What you’ll need- Requires a University Degree and a minimum of 5 years of prior relevant experience (Relevant experience may be substituted for formal education)
- 3 years of medical coding experience
- Must maintain credential throughout employment
- Strong working knowledge & experience with Federal & State Coding Regulations and Guidelines
- Must be a US Citizen and willing to undergo a federal background check as part of the onboarding process
- Must hold one of the following credentials: RHIT, RHIA, CCS, CPC, or COC
- A minimum of two years of people leadership experience is required
- Experience with EPIC, Cerner, Next Gen, Allscripts, or other EHR systems preferred
- Knowledge of Anatomy, Physiology and Medical Terminology preferred
- Experience with Coding clinics ICD-10-CM and PCS preferred
- Experience with Government and other Payer guidelines as they relate to compliant coding preferred
Benefits
Comp & perks- Medical, Rx, Dental & Vision Insurance
- Personal and Family Sick Time & Company Paid Holidays
- Position may be eligible for a discretionary variable incentive bonus
- Parental Leave
- 401(k) Retirement Plan
- Basic Life & Supplemental Life
- Health Savings Account, Dental/Vision & Dependent Care Flexible Spending Accounts
- Short-Term & Long-Term Disability
- Tuition Reimbursement, Personal Development & Learning Opportunities
- Skills Development & Certifications
- Employee Referral Program
- Corporate Sponsored Events & Community Outreach
- Emergency Back-Up Childcare Program
- Flexible benefits package
- Flexible work arrangement (100% remote)