RCM Coding Supervisor

This is a fully remote position, open to applicants in Texas.

📋 Description

• Supervise coding operations and ensure the precision, quality, compliance, and efficiency of physician coding activities.

• Act as the main point of contact between VillageMD, outsourced coding vendors, providers, and internal stakeholders.

• Offer guidance, performance evaluations, and continuous operational support to outsourced coding vendors.

• Track vendor productivity, quality, service levels, and turnaround times.

• Perform routine audits and quality assessments of E/M levels, CPT-4, and ICD-10 diagnosis codes.

• Collaborate with providers and clinical teams regarding documentation requirements and coding best practices.

• Identify coding patterns, operational risks, and opportunities for process enhancements.

• Establish, execute, and uphold coding policies, procedures, and documentation standards.

• Research, interpret, and convey coding and billing regulations, payer requirements, and compliance guidelines.

• Investigate coding issues, denials, and compliance-related inquiries.

• Collaborate with Compliance, Revenue Cycle, Clinical Leadership, and Operations teams.

• Analyze claims, audit, and coding performance data.

• Prepare and present audit outcomes, compliance findings, and operational reports to leadership.

• Formulate corrective action plans and assess their effectiveness.

• Monitor KPIs tied to coding quality, accuracy, productivity, and compliance.

• Provide daily guidance, mentorship, and support to coding staff and vendor partners.

• Assist with onboarding, training, and educational initiatives.

• Oversee and guide outsourced coding vendors and may offer functional supervision, training, coaching, and performance feedback to coding team members.

⛳️ Requirements

• High School Diploma, GED, or equivalent is required.

• Current Certified Professional Coder (CPC) or Certified Coding Specialist-Physician Based (CCS-P) certification is required.

• A minimum of 3 to 5 years of physician coding experience is required.

• Prior experience in conducting coding audits and supporting compliance initiatives is required.

• Expert understanding of physician coding principles, particularly Evaluation and Management (E/M) services.

• Strong knowledge of CPT®, ICD-10-CM, HCPCS, National Correct Coding Initiative (NCCI), and Medicare Local Coverage Determination (LCD) guidelines.

• Familiarity with healthcare compliance, payer regulations, and reimbursement methodologies.

• Proven analytical, organizational, and problem-solving abilities.

• Capability to prioritize multiple responsibilities and meet deadlines in a fast-paced setting.

• Excellent verbal, written, and interpersonal communication skills.

• Ability to work independently while effectively collaborating across departments.

• Demonstrated attention to detail and a commitment to accuracy.

• Capacity to perform repetitive tasks, including keyboard and computer use.

• Manual dexterity sufficient for operating standard office equipment.

• Ability to sit and work at a computer for prolonged periods.

• Occasional standing, walking, and reaching may be necessary.

🏝️ Benefits

• Medical coverage

• Dental coverage

• Life coverage

• Disability coverage

• Vision coverage

• FSA coverages

• 401k savings plan