Ambulance Coding Supervisor Job at Pafford EMS (Oklahoma City)

Job Description

The Ambulance Coding Supervisor is responsible for overseeing daily ambulance coding operations to ensure accurate, compliant, and timely coding of ground ambulance claims. This role provides direct supervision, training, and quality oversight of internal coding staff and contracted/offsite coding vendors. The Supervisor partners closely with billing, compliance, and operations teams to support revenue integrity, audit readiness, and consistent coding standards across multiple states.

Job Responsibility

Supervise and support a team of internal ambulance coders, including work distribution, productivity monitoring, performance feedback, and accountability
Monitor and manage coding quality, productivity, and compliance for offsite/contracted coding vendors
Serve as a subject-matter expert for ground ambulance coding rules, modifiers, and documentation requirements
Assist with onboarding, training, and ongoing education for both internal staff and contracted coders
Develop, maintain, and enforce coding workflows, desk procedures, and quality standards
Ensure accurate coding of ALS/BLS services, mileage, modifiers, and specialty care transports (SCT) in accordance with CMS, Medicare, Medicaid, and commercial payer guidelines
Conduct routine quality assurance (QA) audits of coded claims from both internal and vendor coders and provide corrective feedback
Identify error trends, compliance risks, and training gaps and implement corrective action plans as needed
Stay current on CMS guidance, NCCI edits, OIG work plans, LCDs (when applicable), and state-specific Medicaid requirements
Partner with billing, denial management, compliance, and operations teams to resolve coding-related issues
Support internal and external audits by providing documentation, education, and corrective action responses
Assist leadership with coding metrics, productivity tracking, vendor performance monitoring, and quality reporting
Participate in compliance initiatives, policy development, and continuous process improvement efforts

Requirements

Knowledge of Medicare and Medicaid regulations as they pertain to ambulance billing
Knowledge of and complete and thorough understanding of HIPAA
Knowledge of health care financial management systems and processes
Knowledge of medical, insurance, and healthcare terminology, industry regulations, and requirements
Knowledge of the International Certification of Disease codes for medical impressions and ambulance transportation codes
Knowledge of complicated multi-system medical terminology and general anatomy
Knowledge of coding audits and Federal, State, and Local rules and regulations regarding medical claims
Knowledge of supervisory and managerial techniques and processes
Skill in oral and written communications
Minimum of two (2) years of supervisory experience
Demonstrated experience in ground ambulance coding
Strong working knowledge of ambulance HCPCS codes, modifiers, ICD-10-CM diagnosis coding, and medical necessity documentation
Ability to interpret and apply Medicare, Medicaid, and commercial payer ambulance billing requirements
Must have access to reliable high-speed internet with a minimum download speed of 20 Mbps
Ability to safely and successfully perform the essential job functions consistent with the ADA, FMLA and other federal, state and local standards, including meeting qualitative and/or quantitative productivity standards
Ability to maintain regular, punctual attendance consistent with the ADA, FMLA and other federal, state and local standards
The employee may occasionally be required to lift and/or move up to 20 pounds
Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception, and the ability to adjust focus
Work may require sitting, lifting, stooping, bending, stretching, walking, standing, pushing, pulling, reaching, and other physical exertion
Must be able to talk, listen and speak clearly on telephone
Must possess visual acuity to prepare and analyze data and figures, operate a computer terminal, and operate a motor vehicle

Nice to have

Certified Ambulance Coder (CAC)
Certified Professional Coder (CPC)
Registered Health Information Technician (RHIT)
Registered Health Information Administrator (RHIA)
Preference will be given to candidates that reside in Arkansas, Kansas, Louisiana, Mississippi, Oklahoma, or Texas

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Ambulance Coding Supervisor

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