Code Edit Disputes Supervisor

This position is posted by Jobgether on behalf of a partner company. We are currently looking for a Code Edit Disputes Supervisor in the United States.

This role sits at the intersection of medical coding expertise, operational leadership, and continuous process improvement within a fast-paced healthcare environment. The Code Edit Disputes Supervisor oversees a specialized team responsible for reviewing and resolving coding-related claim disputes, ensuring accuracy, compliance, and consistency in adjudicated claims. The position plays a key role in supporting providers through education and clarification when code editing denials occur, while also driving improvements in workflows and operational efficiency. You will lead day-to-day team operations, coordinate processes across leads and stakeholders, and help shape how disputes are managed and optimized. The environment is highly collaborative, structured yet evolving, and focused on both quality outcomes and member/provider experience. This is a remote role with opportunities to influence both team performance and broader operational strategy.

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Accountabilities:

• Oversee the daily operations of the coding disputes team, including scheduling, workload distribution, and performance management to ensure timely and accurate resolution of code edit-related claims.
• Lead and coordinate with team leads to ensure consistent application of processes, procedures, and coding standards across all dispute handling activities.
• Review existing workflows and identify opportunities for process improvement, simplification, and enhanced operational efficiency.
• Monitor team adherence to policies and procedures while providing coaching, guidance, and accountability to maintain quality and compliance standards.
• Analyze dispute trends and operational data to identify root causes, recurring issues, and opportunities for systemic improvement.
• Collaborate with cross-functional stakeholders and subject matter experts to support continuous improvement initiatives and refine coding dispute processes.

Requirements:

• Minimum of 6 years of medical coding experience with strong knowledge of outpatient professional coding and claim adjudication processes.
• At least 2 years of leadership experience in a supervisory, team lead, or subject matter expert capacity, ideally within coding or claims environments.
• Strong understanding of code editing processes and denial management workflows, with preferred CPC certification (AAPC).
• Demonstrated ability to lead remote or distributed teams and ensure consistent operational execution across workflows.
• Strong analytical and problem-solving skills with the ability to identify trends and drive process improvements.
• Excellent communication and interpersonal skills, with the ability to educate providers and collaborate with internal stakeholders.
• Ability to work independently in a remote environment while managing priorities, deadlines, and operational goals effectively.

Benefits:

• Annual salary range of $71,100 – $97,800, based on experience and qualifications.
• Eligibility for performance-based bonus incentives.
• Comprehensive benefits package including medical, dental, vision, life insurance, and disability coverage.
• Retirement savings plan (401(k)) with employer contributions.
• Generous paid time off, including holidays, vacation, personal days, parental leave, caregiver leave, and volunteer time off.
• Fully remote work model with potential travel for training or meetings as needed.
• Professional development opportunities and ongoing training support.

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How Jobgether works:

We use an AI-powered matching process to ensure your application is reviewed quickly, objectively, and fairly against the role's core requirements. Our system identifies the top-fitting candidates, and this shortlist is then shared directly with the hiring company. The final decision and next steps (interviews, assessments) are managed by their internal team.

We appreciate your interest and wish you the best!

 Why Apply Through Jobgether? 

Data Privacy Notice: By submitting your application, you acknowledge that Jobgether will process your personal data to evaluate your candidacy and share relevant information with the hiring employer. This processing is based on legitimate interest and pre-contractual measures under applicable data protection laws (including GDPR). You may exercise your rights (access, rectification, erasure, objection) at any time.

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