Medical Coder Jobs in Texas

Medical Coder Supervisor

Job Code: SRMC - 114
Revision Date: October 21, 2026

Starting Salary: $21.52 hourly; $44,768 annually

FLSA: Exempt

Overview

We are an agency committed to innovative behavioral health services in trauma-informed care that promote healing and recovery to instill a sense of empowerment and foster a lifelong sense of resilience.

General Description

The Medical Coder Supervisor provides day-to-day leadership, development, and accountability for assigned Billing and Coding Specialists. The position establishes work priorities and performance expectations; monitors coding quality, productivity, and turnaround time; addresses performance and conduct matters in coordination with Human Resources; and ensures coding, charge-capture, provider-query, and documentation-review activities are completed accurately, consistently, and in accordance with applicable laws, regulations, payer requirements, organizational policies, and ethical coding standards. The position also serves as a subject-matter resource and escalation point for coding-related matters.

This position exercises independent judgment within established policies, procedures, and delegated authority and is accountable for the timely, effective, and compliant operation of assigned coding functions. The position reports directly to the Chief of Revenue Cycle.

Duties and Responsibilities

The functions listed below are those that represent the majority of the time spent working in this position. Management may assign additional functions related to the type of work of the position, as necessary.

• Supervises, directs, and evaluates assigned staff; establishes performance and conduct expectations; assigns and reviews work; manages staffing coverage and workload; provides documented coaching; completes performance appraisals; and coordinates corrective or disciplinary matters with Human Resources and organizational policy.
• Oversees onboarding, training, competency validation, continuing education, and certification maintenance for assigned staff.
• Leads implementation and consistent application of current ICD-10-CM, CPT, HCPCS, modifier, E/M, NCCI, payer, medical-necessity, and other applicable coding and billing requirements across assigned workflows.
• Ensures codes, modifiers, units, diagnoses, procedures, and charges are supported by the complete health record, services performed, medical necessity, official guidance, and applicable payer policy; intervenes when practices may result in unsupported coding, upcoding, unbundling, or omission of reportable information.
• Oversees compliant, non-leading provider queries and documentation-clarification processes when records are incomplete, conflicting, ambiguous, or insufficient for accurate code assignment; ensures required audit trails and escalation pathways are maintained.
• Plans and oversees risk-based pre-bill and post-bill coding, documentation, and charge-capture audits; validates findings; communicates results; assigns corrective actions; and verifies completion and sustained improvement.
• Establishes and monitors documented, job-related standards for coding accuracy, productivity, turnaround time, query activity, denial trends, reimbursement variance, and recurring documentation gaps; prepares management reports and implements measurable improvement plans when standards are not met.
• Analyzes coding-related denials by payer, service, provider, and root cause; coordinates prevention, appeal, education, and remediation strategies to reduce avoidable denials and support accurate reimbursement.
• Develops, maintains, and communicates approved coding policies, documentation requirements, audit standards, and educational materials; provides subject-matter guidance for standard and non-standard billing, clinical documentation, charge capture, and applicable reimbursement methodologies.
• Models and enforces privacy, security, access-control, confidentiality, and minimum-necessary requirements; promptly escalates suspected coding, billing, documentation, privacy, retaliation, fraud, waste, abuse, or system-integrity concerns through authorized organizational channels and supports assigned remediation within delegated responsibility.
• Performs coding, documentation-review, or auditing functions as operationally necessary to maintain technical proficiency, support workload demands, and assist with complex or escalated cases.
• Oversees coding and documentation activities for assigned behavioral-health, professional-fee, outpatient, ambulatory, and other applicable service lines and claim types.
• Participates in recruitment, interviewing, candidate evaluation, and selection activities and provides job-related recommendations regarding hiring, promotion, advancement, corrective action, and other employment-status decisions within delegated authority.
• Supports approved Electronic Health Record configuration, testing, workflow development, and optimization activities related to coding, documentation, charge capture, and billing.
• Supports the development, implementation, and evaluation of value-based reimbursement models and related coding or documentation workflows, as assigned.

Additional Responsibilities

• Provides individualized and group training to EHN staff upon request and with appropriate managerial approval, based on identified coding, documentation, billing, or compliance needs.
• Collaborates with providers, clinical departments, Quality Management, Compliance, Health Information Management, Information Technology, and Revenue Cycle partners to resolve coding and documentation concerns while maintaining professional boundaries and compliant query practices.
• Maintains current knowledge of official coding guidance, regulatory and payer updates, and relevant technologies; supports approved projects, workflow optimization, Electronic Health Record and coding-technology improvements, and value-based reimbursement initiatives, as assigned.
• Reviews and resolves escalated coding questions, documentation discrepancies, payer coding disputes, and complex code-assignment issues within delegated authority; participates in system configuration, user-acceptance testing, edit validation, charge-capture testing, implementation planning, and post-implementation monitoring for approved workflow and technology changes.
• Performs other duties as assigned.

Minimum Education and Experience Requirements

Requires an associate degree in business administration, health information management, healthcare administration, or a related field; at least two years of progressively responsible coding, billing, reimbursement, or comparable health-plan experience; and at least one year of formal supervisory or team-lead experience. An equivalent combination of relevant education, training, certification, and experience that demonstrates the required knowledge, skills, and abilities may be considered.

Experience with trauma-informed services; cognitive behavioral therapies, including Dialectical Behavioral Therapy (DBT); and motivational therapies including the use of incentives, preferred.

Required Knowledge and Abilities

Knowledge of trauma-informed theories, principals, and practices (includes multi-faceted understanding of concepts such as community trauma, intergenerational and historical trauma, parallel processes, and universal precautions), preferred.

Requires working knowledge of official coding guidelines, coding compliance, clinical documentation integrity, payer requirements, audit practices, performance management, and applicable privacy and security requirements. Requires the ability to exercise sound judgment; apply policies consistently; maintain confidentiality; manage competing priorities; document employment-related actions objectively; analyze performance and compliance data; communicate effectively with staff, providers, leadership, Human Resources, Compliance, and other stakeholders; and lead staff in a professional, respectful, and non-retaliatory manner. Requires advanced knowledge of medical terminology, anatomy and physiology, disease processes, pharmacology, and the relationship between clinical documentation and code assignment.

Physical Demands

Performs sedentary work that involves walking or standing some of the time and involves exerting up to 10 pounds of force on a regular and recurring basis or sustained keyboard operations.

Unavoidable Hazards (Work Environment)

• Involves routine and frequent exposure to:
• • Bright/dim light; Dusts and pollen.
  • Extreme heat and/or cold; Wet or humid conditions.
  • Extreme noise levels, Animals/wildlife.
  • Vibration; Fumes and/or noxious odors.
  • Traffic; Moving machinery.
  • Electrical shock; Heights.
  • Radiation; Disease/pathogens.
  • Toxic/caustic chemicals; Explosives; Violence.
  • Other extreme hazards not listed above.

• Work is primarily performed in a standard office or approved remote-work environment using computers, telephones, and electronic health-information systems.
• May involve ordinary office lighting, noise, and indoor environmental conditions.
• No unusual occupational hazards are anticipated in the normal performance of the position. Additional work-environment requirements may apply when duties are performed at alternate organizational locations.

Special Certifications and Licenses

• Must possess and maintain an active Certified Coding Specialist (CCS), Certified Professional Coder (CPC), or Certified Coding Specialist - Physician-Based (CCS-P) credential, or another coding credential approved by the organization.
• Must possess and maintain a valid state Driver's License with an acceptable driving record.
• Must be able to pass a TB, criminal background, and drug screen.

Americans with Disabilities Act Compliance (ADA)

Emergence Health Network is an Equal Opportunity Employer. ADA requires Emergence Health Network to provide reasonable accommodations to qualified persons with disabilities. Prospective and current employees are encouraged to discuss ADA accommodations with management.

Other Job Characteristics

• Staffing requirements, including criteria that staff have diverse disciplinary backgrounds, have necessary State required license and accreditation, and are culturally and linguistically trained to serve the needs of the clinic's patient population.
• Credentialed, certified, and licensed professionals with adequate training in person-centered, family centered, trauma informed, culturally-competent and recovery-oriented care.
• Responsible for leading and implementing the EHN common purpose and service framework to continuously provide exceptional care to all constituents.

Note: This Class Description does not constitute an employment agreement between the Emergence Health Network and an employee and is subject to change by the Emergence Health Network as its needs change.