• Supervise daily operations of the coding QA team, specifically SDS & Observation audits.
• Conduct internal audits to evaluate accuracy, consistency, and regulatory compliance in SDS coding, when needed.
• Monitor coding performance and quality metrics; provide actionable feedback to improve team effectiveness.
• Develop, implement, and maintain coding QA policies and procedures in collaboration with leadership.
• Collaborate with coding education staff to identify training needs and deliver targeted education based on audit findings.
• Act as a subject matter expert for SDS & Observation coding questions and escalated cases.
• Ensure coding practices align with federal guidelines, payer-specific policies, and organizational goals.
• Provide detailed reporting and analysis of audit results to leadership, identifying trends and risks.
• Maintain up-to-date knowledge of coding standards, CMS regulations, payer guidelines, and industry best practices.
• Participate in hiring, onboarding, and mentoring QA.
• Support coding projects, system upgrades, and other initiatives as assigned.
  
  

• Associate or bachelor’s degree in health information management, Health Sciences, or related field preferred.
• Active certification: Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or equivalent required.
• CPMA certification is preferred but not required.
  
  

• Minimum 5 years of medical coding experience, with at least 2 years specializing in Same Day Surgery (SDS) & Observation.
• Minimum 2 years of supervisory or lead experience in a QA or auditing role.
• Strong experience with CMS, NCCI edits, and payer-specific coding guidelines.
• IVR experience is preferred but not required.
  
  

• In-depth knowledge of ICD-10-CM, CPT, and HCPCS Level II coding systems.
• Proficient with EHR and coding software (e.g., EPIC, 3M, Optum).
• Exceptional analytical and problem-solving skills.
• Excellent communication and leadership abilities.
• Strong attention to detail and commitment to accuracy and compliance.
• Ability to work independently and as part of a team in a fast-paced environment.
  
  

• Experience with remote team supervision.
• Previous experience with SDS and Observation coding audits and QA in a multi-specialty or large health system.

Please refer to job description.