RCM Coding Supervisor

Job not on LinkedIn

🔥 4 minutes ago

🤠 Texas – Remote

🤠 Texas – Remote

💵 $74k - $92k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 0%

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Village Medical

WebsiteLinkedInAll Job Openings

51 - 200 employees

Founded 2014

🏥 Healthcare

⚕️ Healthcare Insurance

Healthcare • Healthcare Insurance

Village Medical is revolutionizing primary healthcare by focusing on making care more accessible and personalized, especially for adults over 65. With services that include in-clinic, in-home, and virtual visits, Village Medical ensures comprehensive and coordinated care through a team approach. They prioritize wellness by offering personalized care plans and welcome most insurance, including Medicare Advantage plans. Their widespread presence in over 680 locations, many within Walgreens, enables them to be easily accessible to their patients. Village Medical's commitment to their patients is reinforced by the ability to manage appointments and prescriptions through their free app, enhancing convenience and connectivity in healthcare management.

📋 Description

• Oversee coding operations and ensure accuracy, quality, compliance, and efficiency of physician coding activities • Serve as the primary liaison between VillageMD, outsourced coding vendors, providers, and internal stakeholders • Provide direction, performance feedback, and ongoing operational support to outsourced coding vendors • Monitor vendor productivity, quality, service levels, and turnaround times • Conduct routine audits and quality reviews of E/M levels, CPT-4, and ICD-10 diagnosis codes • Collaborate with providers and clinical teams on documentation requirements and coding best practices • Identify coding trends, operational risks, and process improvement opportunities • Develop, implement, and maintain coding policies, procedures, and documentation standards • Research, interpret, and communicate coding and billing regulations, payer requirements, and compliance guidelines • Investigate coding concerns, denials, and compliance-related inquiries • Partner with Compliance, Revenue Cycle, Clinical Leadership, and Operations teams • Analyze claims, audit, and coding performance data • Prepare and present audit results, compliance findings, and operational reports to leadership • Develop corrective action plans and monitor their effectiveness • Track KPIs related to coding quality, accuracy, productivity, and compliance • Provide day-to-day guidance, coaching, and support to coding staff and vendor partners • Assist with onboarding, training, and education initiatives • Provide oversight and direction to outsourced coding vendors and may provide functional supervision, training, coaching, and performance feedback to coding team members

🎯 Requirements

• High School Diploma, GED, or equivalent required • Current Certified Professional Coder (CPC) or Certified Coding Specialist-Physician Based (CCS-P) certification required • Minimum of 3 to 5 years of physician coding experience required • Previous experience conducting coding audits and supporting compliance initiatives required • Expert knowledge of physician coding principles, including Evaluation and Management (E/M) services • Strong understanding of CPT®, ICD-10-CM, HCPCS, National Correct Coding Initiative (NCCI), and Medicare Local Coverage Determination (LCD) guidelines • Knowledge of healthcare compliance, payer regulations, and reimbursement methodologies • Proven analytical, organizational, and problem-solving skills • Ability to prioritize multiple responsibilities and meet deadlines in a fast-paced environment • Strong verbal, written, and interpersonal communication skills • Ability to work independently while collaborating effectively across departments • Demonstrated attention to detail and commitment to accuracy • Ability to perform repetitive tasks, including keyboard and computer use • Manual dexterity sufficient to operate standard office equipment • Ability to sit and work at a computer for extended periods • Occasional standing, walking, and reaching may be required

🏖️ Benefits

• Medical coverage • Dental coverage • Life coverage • Disability coverage • Vision coverage • FSA coverages • 401k savings plan