• Job Type: Officer of Administration
• Bargaining Unit:
• Regular/Temporary: Regular
• End Date if Temporary:
• Hours Per Week: 35
• Standard Work Schedule: M-F
• Salary Range: $80000 - $90000

Position Summary

The Coding and Complex Supervisor is a key role within the centralized Clinical Revenue Office (CRO), responsible for the day-to-day supervision of the coding and coding denial teams. This position ensures accurate and compliant coding practices to optimize revenue capture and oversees the follow-up and resolution of coding-related denials and appeals. By managing Coders, Coding Denial Specialists, and SC A/R Specialists, the Coding Supervisor plays a critical role in managing denial follow-up, appeals submissions, and escalations. Through effective leadership, compliance monitoring, and process improvements, this role supports the overall efficiency and goals of the revenue cycle.

Responsibilities

Operational Management:

• Oversee the review and resolution of pre-billing coding edits, ensuring accurate coding selection based on available documentation and payer guidelines compliance.
• Supervise Coding Denial Specialists and SC A/R Specialists, coordinating denial follow-up, appeals submissions, and escalations to secure appropriate reimbursement.
• Manage work queues, prioritize tasks, and coordinate resources to ensure timely processing of coding edits, denials, and appeals.
• Provide expert guidance on complex coding scenarios, including preparing appeals, Letters of Medical Necessity, and additional documentation to support correct reimbursement. 
• Collaborate with the Assistant Director to develop, refine, and implement policies and procedures that enhance accuracy, compliance, and operational efficiency.

Reporting and Analysis:

• Track and report on coding performance metrics, including productivity, accuracy, and denial rates, providing insights and recommendations for process improvement.
• Analyze coding-related data to identify trends, opportunities for improvement, and areas of concern, using findings to drive enhancements in coding practices.
• Prepare detailed reports for management on coding activities, summarizing key performance indicators, issues, and solution recommendations.

People:

• Supervise a team of Coders and A/R Specialists, providing guidance, support, and oversight to ensure accurate and timely resolution of coding-related edits, denials, and appeals.
• Set performance standards and goals for the coding team, regularly monitoring progress toward productivity and quality benchmarks.
• Conduct performance evaluations, provide feedback, and implement development plans to support professional growth and enhance team performance.
• Lead team meetings to discuss updates, address challenges, share best practices, and ensure alignment with departmental goals.
• Work closely with clinical departments, billing staff, and other revenue cycle teams to resolve coding-related issues and enhance the efficiency of the revenue cycle process.
• Act as the primary point of contact for coding-related inquiries, providing guidance to staff, clinicians, and administrative teams on coding issues and best practices.
• Represent the coding team in cross-functional meetings, task forces, and projects, advocating for improvements in coding accuracy and revenue optimization.

Compliance:

• Ensure that all coding activities comply with payer requirements, institutional policies, and regulatory standards, including HIPAA and CMS guidelines.
• Conduct recurring quality audits of coding practices to identify errors, provide feedback, and implement corrective actions to improve accuracy and minimize denials.
• Support coding compliance initiatives by staying current with updates in CPT, ICD-10, and HCPCS coding, and ensuring that staff are well-informed of any changes.
• Maintain thorough knowledge of billing rules, regulations, and coding standards, ensuring that coding practices are aligned with best practices and industry standards.

Please note: While this position is primarily remote, candidates must be in a Columbia University approved telework state. There may be occasional requirements to visit the office for meetings or other business needs. Travel and accommodation costs associated with these visits will be the responsibility of the employee and will not be reimbursed by the company.

Minimum Qualifications

• Bachelor’s degree or equivalent in education and experience.
• Minimum of 3 years of relevant experience in a healthcare facility or medical billing office environment.
• An equivalent combination of education, training, and experience may be considered.
• Certified Professional Coder (CPC) required
• Advanced knowledge of CPT, ICD-10, and HCPCS coding, with comprehensive familiarity with payer guidelines, including Medicare and Medicaid.
• Proven ability to lead and develop a high-performing team, with strong skills in performance management and staff development.
• Excellent analytical, organizational, and communication skills, with the ability to interact effectively with clinical and administrative staff.
• Must successfully pass systems training requirements.

Preferred Qualifications

•  Additional coding certifications such as Certified Coding Specialist (CCS) preferred.
• At least 1 year of direct supervisory experience.
• Experience in a central billing office or revenue cycle management environment.
• Familiarity with data analysis tools and experience generating reports for management.

Competency Profile

Patient Facing Competencies

Minimum Proficiency Level

Accountability & Self-Management

Level 3 - Intermediate

Adaptability to Change & Learning Agility

Level 2 - Basic

Communication

Level 2 - Basic

Customer Service & Patient Centered

Level 3 - Intermediate

Emotional Intelligence

Level 2 - Basic

Problem Solving & Decision Making

Level 3 - Intermediate

Productivity & Time Management

Level 3 - Intermediate

Teamwork & Collaboration

Level 2 - Basic

Quality, Patient & Workplace Safety

Level 3 - Intermediate

Leadership Competencies

Minimum Proficiency Level

Performance Management

Level 2 - Basic

Equal Opportunity Employer / Disability / Veteran

Columbia University is committed to the hiring of qualified local residents.