Medical Records Supervisor

Job Summary
Job Title: Medical Records & Appeals Supervisor

Job Summary

The Medical Records & Appeals Supervisor supports daily operations of the Medical Records & Appeals team, ensuring accuracy, regulatory compliance, and timely performance. This role provides hands-on support for appeals, medical records requests, and insurance claims audits within a mental health and substance abuse billing environment.

Key Responsibilities

Daily Team Supervision

• Directly supervise Medical Records & Appeals Coordinators.
• Assist with assigning daily tasks and monitoring productivity.
• Serve as the first point of escalation for questions and complex cases.
• Assist in onboarding and training new staff.

Medical Records Oversight

• Ensure all record requests are processed accurately and on time.
• Conduct quality checks to ensure compliance with HIPAA and MH/SUD documentation requirements.
• Support staff in understanding payer-specific record requirements.

Denied Claims & Appeals Support

• Assist staff in researching denial reasons, coding errors, and documentation gaps.
• Provide guidance on interpreting ICD‑10, CPT, and billing form errors.
• Help review appeal packets before submission.
• Monitor follow-up schedules to ensure timely responses.

Insurance Claims Audits

• Conduct internal reviews of claims and documentation for accuracy, completeness, and compliance.
• Audit MH/SUD claims for proper coding, clinical documentation, and payer requirements.
• Identify patterns in errors and communicate findings to the Manager.
• Support staff in correcting documentation or claim issues discovered during audits.
• Assist in preparing materials for external payer audits.

Compliance, Training & Quality

• Stay updated on MH/SUD billing regulations, coding standards, and insurance requirements.
• Provide ongoing staff training on documentation and audit expectations.
• Support the Manager in updating departmental SOPs based on audit findings.

Reporting & Continuous Improvement

• Generate routine reports on productivity, audit findings, denial types, and appeal outcomes.
• Recommend workflow adjustments to enhance accuracy and efficiency.
• Help maintain consistency and integrity in all documentation processes.

Qualifications

• 2 years of experience in medical records, appeals, or billing (MH/SUD preferred).
• Experience conducting insurance claims audits is highly preferred.
• Strong knowledge of behavioral health coding and billing requirements.
• Excellent communication and organizational skills.
• Proficiency with EMR systems and billing software.
• Ability to work on-site full time (in-office position).

Pay: $26.44 - $31.25 per hour

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Employee assistance program
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Work Location: In person

Salary : $26 - $31