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Medical Coding Supervisor

🔥 15 hours ago

🇺🇸 United States – Remote

đź’µ $68k - $113k / year

⏰ Full Time

🟡 Mid-level

đźź  Senior

🏥 Medical Billing and Coding

🦅 H1B Visa Sponsor

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Logo of Guidehouse

Guidehouse

10,000+ employees

Founded 2018

🏥 Healthcare

🎖️ Defense

📦 Logistics

đź’° Grant on 2023-02

Healthcare • Defense • Logistics

Guidehouse is a global consultancy offering advisory, digital, and managed services across commercial and public sectors. It is purpose-built to support industries such as national security, financial services, healthcare, energy, and infrastructure. Guidehouse collaborates with leaders to navigate complexity and drives transformational changes that impact the future. Their expertise spans data analytics, digital technologies, risk management, and more, with a strong emphasis on sustainability and innovation.

đź“‹ Description

• 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

• 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

• 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)

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