Coding Supervisor

Molina Healthcare Spokane , WA 99201

Posted 2 months ago

Job Description:

Job Summary

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.

Knowledge/Skills/Abilities

  • 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

Job Qualifications

Required Education

Bachelor's Degree or equivalent experience

Required 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)

Preferred Education

Bachelor's Degree in related field

Preferred Experience

  • 3-5 years in risk adjustment coding

  • 3 years supervisory experience

  • Knowledge of Medicaid policies and procedures

  • Healthcare background

  • Knowledge of coding, HCCs, risk adjustment concepts, medical records review project management, encounter data management, compliance audits concepts

Preferred License, Certification, Association

  • Certified Risk Adjustment Coder- (CRC)
  • Certified Coding Specialist - (CCS)
  • Certified Professional Coder
  • Hospital (CPC-H)
  • Certified Professional Payer
  • Payer (CPC-P)
  • Registered Health Information Administrator (RHIA) or equivalent

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.


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Coding Supervisor

Molina Healthcare