Clinical Revenue Supervisor
The Clinical Revenue Supervisor supports the management of billing, coding, and compliance functions within the department to ensure accurate and timely revenue capture. This role oversees the day-to-day operations of charge posting, coding accuracy, and workflow efficiency, ensuring adherence to documentation standards and regulatory requirements for CPT and ICD-9-CM / ICD-10-CM coding. The supervisor provides guidance and oversight to Coders and Abstractors, reviews billing processes and performance, and collaborates with department leadership to identify and resolve revenue or compliance issues. They serve as a key liaison between physicians, administrative staff, and revenue cycle teams to communicate regulatory updates and maintain best practices. In addition, the Clinical Revenue Supervisor participates in and may lead training and auditing initiatives that support compliance and promote understanding of departmental policies and expectations. This position requires a strong working knowledge of medical coding, billing procedures, and healthcare compliance, along with the ability to manage multiple priorities while maintaining accuracy and accountability in all aspects of the revenue cycle.
Responsibilities include :
- Supporting and overseeing departmental billing, coding, and compliance functions to ensure accuracy, timeliness, and adherence to institutional and regulatory standards.
- Ensuring that all professional and hospital charges are posted accurately and promptly, meeting all chart documentation, CPT, and ICD-9-CM / ICD-10-CM requirements.
- Supervising Abstractors / Coders and other staff, providing performance feedback, and guidance to maintain quality, consistency, and productivity.
- Ability to mentor and coach coders to support ongoing learning, professional advancement, and readiness for increased responsibility or promotion within the department.
- Maintaining a comprehensive understanding of coding procedures, billing workflows, and compliance regulations, ensuring timely communication of updates to physicians, administrators, and staff.
- Leading or participating in internal audits, compliance reviews, and training sessions to promote understanding of policies, documentation standards, and billing expectations.
- Collaborating with departmental leadership to evaluate and enhance billing infrastructure, address workflow inefficiencies, and resolve charge capture or coding discrepancies.
- Monitoring key performance indicators such as charge lag, coding accuracy, and claim denial trends to identify opportunities for improvement and support revenue integrity initiatives.
- Prioritizing chart documentation review and ensuring the completion of all processes involved in accurate professional fee posting.
- Communicating effectively with physicians and clinical teams to clarify documentation requirements and support compliance with established guidelines.
- Performing related duties and special projects as assigned to support departmental objectives and the overall success of the clinical revenue cycle.
- Prioritizing chart documentation and maintaining requirements within the department. Ensuring all processes involved in accurately posting professional fees.
- Has a moderate / solid understanding of coding procedures, workflow issues, billing infrastructure, and performance of Clinical Revenue staff. Informs department administrators, physicians, and Coder / Abstractors of regulatory changes.
- Participates and may lead in training sessions, performing audits, and promoting an understanding of procedures, policies, and expectations in promotion of compliance efforts.
- Performs other related work as needed.
Minimum qualifications include a college or university degree in a related field and 2-5 years of work experience in a related job discipline. Preferred qualifications include a bachelors degree, 5 years of experience in professional coding, experience coding complex surgeries across multiple specialties, experience coding Evaluation & Management services, previous leadership or supervisory experience, proficiency in Microsoft Excel, auditing experience, and experience with Epic. Certifications such as RHIA, RHIT, CCS-P, CPC, or CCS are also preferred.