Medical Coding Supervisor (Inpatient & Outpatient)
Job Details
- Languages
- Strong written and spoken English
- Experience
- At least 2 years of continuous coding experience at a VA medical center of comparable size and complexity (level 1A), or at an equivalent large tertiary or teaching hospital.
Requirements
- Hold an active RHIT, RHIA, CCS, CCS-P or CPC credential at hire and maintain it.
- AHIMA credential holders must have completed the required ICD-10-CM/PCS baseline CEUs.
- AAPC credential holders must have passed the ICD-10 Proficiency Assessment.
- Have at least 2 years of continuous coding experience at a comparable level 1A VA medical center or an equivalent large tertiary or teaching hospital.
- Meet all qualifications of the Coder and Coding Lead roles.
- Be proficient in ICD-10-CM, ICD-10-PCS, DRGs, CPT, HCPCS and E/M across inpatient, outpatient, professional and surgical settings.
- Have experience with Oracle Health (Cerner) coding workflows.
- Have formal training in anatomy and physiology, medical terminology, pathophysiology, pharmacology and reimbursement methodologies.
- Previous supervisory or lead experience managing a coding team is preferred.
- Familiarity with VistA, CPRS or VIRR is preferred.
- Experience with Solventum (3M) CRS encoder and 360 Encompass is preferred.
- An inpatient CCS credential with DRG validation or audit experience is preferred.
Responsibilities
- Supervise, direct and manage coding staff day to day, including workflow, performance, leave approvals, employee concerns and disciplinary action.
- Manage coding performance against accuracy, turnaround-time and daily productivity standards.
- Review audit findings, identify error trends and provide education to coding and clinical staff.
- Resolve claim edits and coding-related rejections, and monitor reports for outstanding or uncoded services.
- Work with revenue cycle and compliance teams to ensure coding follows official guidelines, VHA HIM Coding Program standards and NCCI policies.
- Oversee provider queries for compliance with the VHA Provider Query Process and timely closure.
- Prepare monthly quality, productivity and training reports and corrective action plans.
- Meet regularly with the VA Contracting Officer’s Representative and HIM staff, and respond to identified issues.
- Work with the Coding Lead on onboarding, training materials and ongoing education.