[Hiring] Coding Operations Supervisor @US Heart & Vascular

Role Description

Leads and performs coding of medical records, diagnoses, and procedures for accurate billing and insurance claims processing. Translates medical information into standardized codes, ensuring compliance with regulatory requirements and quality standards.

Responsibilities & Duties

• Reviews and analyzes medical records, including patient charts, to assign appropriate codes for diagnoses, procedures, and services using ICD-10 and other coding systems.
• Enters coded information into electronic health record (EHR) systems and billing software accurately and in a timely manner.
• Verifies the completeness and accuracy of medical documentation to ensure that all services are properly coded and supported by the patient’s medical records.
• Ensures that coding practices comply with federal, state, and payer regulations, as well as healthcare coding guidelines and standards.
• Assists in the preparation and submission of insurance claims, ensuring all required information is included and addressing any issues or denials promptly.
• Participates in coding audits and quality assurance reviews to identify and resolve discrepancies or coding errors.
• Addresses patient and provider inquiries related to coding and billing issues in a professional and courteous manner.
• Leads, trains, and assists other medical coders and staff engaged in medical records to maintain coding accuracy and compliance.
• Participates in mentoring, coaching, counseling, and termination of employees, as needed.
• Works closely with healthcare providers, billing staff, and insurance companies to resolve any issues related to coding or claims processing.
• Maintains a safe workplace by following established safety protocols, reporting hazards, and participating in required safety training.
• Fosters a team-oriented environment by encouraging cooperation, providing support, and resolving conflicts constructively.
• Demonstrates integrity, professionalism, and respect in all interactions.
• Follows processes and policies for the organization.
• Adapts to changing priorities, processes, and business needs.
• Performs other duties as assigned.

Qualifications

• Knowledge and understanding of electronic health records, preferably in a clinical or hospital setting.
• Proficiency in using electronic health record (EHR) systems and coding software.
• Strong knowledge of ICD-10, CPT, and HCPCS coding systems and guidelines.
• Attention to detail and accuracy in coding and data entry.
• Analytical skills and ability to interpret medical documentation effectively.
• Excellent communication skills, with the ability to work collaboratively with healthcare providers and administrative staff.
• Ability to handle sensitive information with confidentiality and professionalism.
• Knowledge of federal, state, and local laws, statutes, regulations, codes, and standards related to the area of responsibility.
• Knowledge of the principles, concepts, and theories relevant to the assigned functional area.
• Skill in completing assignments accurately and with attention to detail.
• Ability to communicate clearly and concisely both orally and in writing in English, to various audiences.
• Ability to manage time, organize work, set priorities, meet deadlines, and follow up on work assignments with minimal supervision.
• Ability to work independently, and as a team, to complete daily activities according to the work schedule.
• Working knowledge of Office 365 programs such as Excel, Outlook, Word, PowerPoint, etc.

Requirements

• High School diploma or GED from an accredited institution.
• Certification as a Medical Coder from a recognized professional organization.