Coding Supervisor

UPMC-GoHealth Urgent Care, LLCUnited StatesRemoteFull-timeSenior, 5–8 yearsListed 54 minutes ago

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About this role

You’re more valuable than ever – And that’s just how we’ll make you feel.

Job Summary

The Coding Supervisor is responsible for overseeing coding operations and workflows across vendor-supported markets. This role ensures accurate, compliant coding and documentation practices through proactive issue resolution, provider education, audit review, and process optimization. The Coding Supervisor will collaborate closely with vendor partners, providers, and leadership to improve revenue cycle performance and documentation integrity.

Qualifications

Education Required:

· High School Diploma or GED

· Medical Coding Certification (CCS or CPC)

Licenses/Certifications Required:

· Certified Coding Specialist (CCS) or Certified Professional Coder (CPC)

Work Experience Required:

· 5+ years of Evaluation and Management Profee Coding experience

· 1+ years of managing/supervising coding staff

· Auditing for coding accuracy

Preferred Qualifications, Education, Licenses, Certifications, Experience, etc.:

· In-depth knowledge of federal coding regulations and guidelines

· Proficiency in CPT, HCPCS, and ICD-10 codes

· Experience with Electronic Medical Records (EMR); eClinicalWorks or Epic preferred

· Strong analytical and communication skills

Knowledge, Skills, and Abilities

· This role involves overseeing Team Members and interaction and collaboration with other departments and requires excellent judgment and interpersonal skills.

· Demonstrates strong judgment and interpersonal skills in interactions with providers and patients as applicable to the role.

· Demonstrates strong judgment and interpersonal skills when collaborating across departments and working with cross-functional teams.

Essential Duties and Responsibilities

· Oversee coding operations across vendor-supported markets.

· Lead and manage the Request for Information (RFI) process.

· Analyze RFI, coding, and documentation trends; provide actionable insights and collaborate with revenue cycle leadership.

· Implement Coding process enhancements and vendor-supported market workflow improvements.

· Provide ongoing leadership through performance management, coaching, feedback, and career development to build a highly engaged and high-performing team.

· Develop a culture of excellence, accountability, and continuous improvement that enables the team to deliver meaningful business impact while maintaining a highly collaborative and supportive work environment.

· Ensure quality, consistency, and accountability in daily operations and deliverables.

· Partner with Provider Education and Revenue Cycle leadership to identify documentation improvement opportunities.

· Investigate and resolve coding discrepancies, audit findings, and vendor-related issues; collaborate with Revenue Cycle leadership to ensure alignment and accuracy.

· Review internal and external coding audits to ensure accuracy; implement corrective actions when needed.

· Collaborate with Accounts Receivable (AR) and coding teams to identify denial trends, support root cause analysis, and implement solutions to reduce future denials.

· Oversee processes related to missing documentation and reports, ensuring timely follow-up and submission to support coding and billing workflows.

· Monitor EMR-specific trends, including volume fluctuations and documentation patterns, and provide recommendations to optimize workflow and performance.

· Provide ongoing guidance to providers and leadership on documentation quality, coding accuracy, and compliance standards.

· Stay current with coding updates, regulatory changes, and industry best practices through continuing education, training, and professional development.

· Ensure all activities remain compliant with HIPAA and organizational policies; promptly escalate any compliance concerns or irregularities.

· Support and contribute to revenue cycle performance initiatives by providing coding expertise, operational insight, and leadership recommendations.

· Perform additional duties as assigned to support departmental and organizational goals.

GoHealth Core Values

GoHealth’s Core Values, listed below, are essential functions of this position:

· Collaboration: Takes ownership for collectively establishing productive partnerships and relationships and seek to gain joint understanding of priorities and objectives so that the greater good of the organization and those we serve is always at the forefront.

· Innovation: Consistently uses good judgment, applying creativity to overcome obstacles and increasing effectiveness and efficiency through process and other forms of innovation.

· Diversity & Inclusion: Fosters diversity and inclusion, to be able to better understand team members, our customers and partners. Engages the strengths and talents of each

GoHealth team member, creating an environment of involvement, respect, and connection where the richness of ideas, backgrounds and perspectives are harnessed.

· Courage & Integrity: Models and practices the highest ethical and professional standards, demonstrates pride and personal interest in our patients, partners and fellow team members, deeply engaging in the business. Makes decisions, with a focus on doing the right thing; treats team members, our customers, partners and vendors with dignity, consideration, open-mindedness, and respect.

· Accountability: Always shows initiative, demonstrates a bias to action and gets things done. Actively accepts responsibility for diverse roles, obligations and actions that positively influence patient and customer outcomes, our partnerships and the healthcare needs of our communities.

GoHealth Leadership Principles

GoHealth’s Leadership Principles, listed below, are essential functions for this position:

· Create Shared Purpose: Breathe life into our vision and mission. Speak to our future and create a line of sight for our team members. Set goals and communicate a plan of action. Empower others to deliver.

· Inspire and Motivate: Celebrate and share success. Grow and develop our team members. Provide direct feedback that enables others to reach their potential. Identify when to lead and embrace the opportunity to follow.

· Plan, Execute, Adapt and Deliver: Leverage analytics and experience to make better decisions. Possess a bias towards action and manage risk. Be agile, pragmatic and adjust. Identify, acknowledge, plan, implement and follow-up.

Physical Requirements

· Office Environment: Tasks may be conducted within a climate-controlled office setting.

· Physical Activity: The role may require the ability to lift, carry, push, or pull materials, supplies, and equipment (up to 10 lbs.) Duties typically involve a combination of sitting, standing, and walking, with frequent changes in position.

· Travel: Travel may be required, including travel between Company locations and out-of-town destinations as needed. Up to 10%.

· Safety Equipment: May require the use of safety equipment for infection prevention.

Note: This Job Description is not inclusive of all the duties of the position. You may be asked by Leaders to perform other duties. Leadership may revise this job description at any time.

Equal Employment Opportunity Statement

The Company and its affiliates, joint venture partners and entities under common management are Equal Opportunity Employers. They do not discriminate based on race, color, religion, national origin, age, sex, disability, veteran status, sexual orientation, gender identity, or any other protected status under federal, state, or local law.

ADA Accommodation Statement

Reasonable accommodations are available for qualified individuals with disabilities upon request. This role defines success by achieving essential function outcomes, not by the method of completion.

Compliance Statement

This job will be performed consistent with ADA, FMLA, FLSA, and other applicable federal, state, and local laws regulating employment.

Base Salary Range:  $66,500/annually to $91,430/annually

The range above reflects the good-faith compensation range the Company reasonably expects to pay for this position at the time of posting.

Actual compensation will depend on experience, skills, education, geographic location, and other business-related factors. It is not typical for an individual to be hired at or near the top of the range for their role.

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All qualified persons are granted an equal opportunity for employment without regard to race, color, religion, sex, sexual orientation and gender identity or expression, age, national origin, citizenship status, disability, genetic information, medical condition, family care leave status, pregnancy or pregnancy-related condition, otherwise qualified disabled or veteran status. The company will comply with all fair employment laws in each of the jurisdictions where we conduct business.

For applicants in California, please review our California Consumer Privacy Statement here. https://www.gohealthuc.com/privacy-policy