The Coding Supervisor is responsible for providing assistance to the Department Manager by working to ensure compliance with coding guidelines are being met accurately and efficiently. The Coding Supervisor is the subject matter expert who researches coding and coding relating issues and reporting findings to management, providers and staff while providing direction and leadership to the team.
Assist the Manager of RA Coding by directly overseeing RA coders' day to day work including day to day supervision of the internal coding staff including hiring, performance management, recognition and development.
Ensuring accountability of the team and individual coders to quality and productivity standards, and monitoring compliance with corporate policies and procedures.
Identifies, assists, develops and maintains corporate documentation, policy and procedures for standardized operations.
Acts as a coach and positive role model for staff and colleagues establishing/maintaining a work environment and fosters positive morale and treats fellow employees with courtesy, respect, and inclusiveness.
Takes responsibility for assignments and demonstrates accountability, discretion and sound judgment in using or managing resources.
Demonstrates initiative and discipline in time management and assignment completion.
Coordinates staff schedules to ensure staging levels meet business needs.
Develops processes to ensure complete and accurate coding of assigned product lines.
Maintains current knowledge of health care billing laws, rules and regulations and developments.
Proven ability to perform strategic planning and priority setting for a coding department.
Tracks coding issues and reviews coding inaccuracies to highlight areas of improvement.
Responsible for archiving any necessary agendas, minutes, and related materials.
Collaborates with interdepartmental or cross-functional teams for any assigned projects and provides departments with coding issues and updates to be shared with providers
Maintains a library of code books and relevant resources to be available to personnel, when necessary.
Maintains a positive relationship with all clients and serves as a resource for clients and co-workers in regards to coding inquiries.
Complies with any regulatory guidelines, practices, or policies.
Maintains professional and technical knowledge by attending educational workshops; reviewing professional publications; establishing personal networks; participating in professional societies as necessary or required.
High attention to detail
Follow well-defined instructions and comply with regulations, standards, and procedures
Bachelor's Degree or equivalent experience
Minimum 2 years in risk adjustment coding
Minimum 2 years of supervisory experience
Knowledge of medical record systems (Epic, GE Centricity, Cerner, etc)
Knowledge of Microsoft Word, Excel, Visio, PowerPoint, Adobe Acrobat, Nitro Pro
Knowledge of insurance claims processing.
Knowledge of specific coding models may be required.
Must convey an image that is consistent with Molina's values, demonstrating the qualities, traits, and demeanor that command leadership respect
Strong leadership and communication skills, problem solving abilities
Required License, Certification, Association
Certified Professional Coder (CPC)
Bachelor's Degree in related field
3-5 years in risk adjustment coding
3 years supervisory experience
Knowledge of Medicaid policies and procedures
Knowledge of coding, HCCs, risk adjustment concepts, medical records review project management, encounter data management, compliance audits concepts
Preferred License, Certification, Association
To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.