Advance Your Career as a Coding Manager in Healthcare
Are you experienced in medical coding, compliance, and revenue cycle management? If so, a Coding Manager position in a dynamic healthcare environment could be your next career move. This full-time role offers the opportunity to lead coding operations, ensure compliance, and optimize revenue collectability across Commercial facilities utilizing a Central Billing Office (CBO).
Why This Role Aligns With Your Profile
If you have strong writing skills, familiarity with medical terminology, and experience handling customer inquiries, this role perfectly matches your expertise. A high school diploma or GED is required, though additional certifications such as RHIA, RHIT, CPC, COC, CASSC, or CCS will make you an ideal candidate.
Position Overview
Reporting to the Director of Coding Compliance, the Coding Manager oversees all coding operations for CBO facilities. This includes maximizing the collectability of services performed, ensuring operational quality, efficiency, and compliance, and providing timely, accurate responses to client inquiries. You will also lead audits, analyze data, and recommend improvements to internal processes.
Key Responsibilities
Coding Oversight & Compliance
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Perform audits on outside vendors to ensure coding integrity.
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Resolve coding discrepancies and support denial resolution.
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Ensure claims adhere to provider contracts, member demographics, and service-level requirements.
Client & Team Engagement
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Respond to client inquiries within three business days.
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Communicate effectively across all organizational levels.
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Develop and deliver coding education presentations to client sites semi-annually.
Process Improvement & Reporting
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Plan and coordinate external coding audits and manage outcomes.
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Analyze data and report findings to leadership.
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Assist in developing, updating, and training staff on new policies and procedures.
Technical Responsibilities
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Review and analyze medical records to identify diagnoses, procedures, and services provided.
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Ensure coding accuracy and compliance with AMA, CMS, CPT guidelines, ICD-10-CM, and payer requirements.
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Maintain knowledge of health care billing procedures, documentation, regulations, payment cycles, and standards.
Required Skills & Qualifications
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RHIA, RHIT, CPC, COC, CASSC, or CCS certification required.
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Associates degree in a relevant field preferred, or a combination of education and experience.
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2–5 years of Revenue Cycle Management (RCM) leadership in Orthopedic, Pain Management, or Ambulatory Surgery Centers preferred.
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Experience with HST, Vision, SIS Complete, AdvantX, and/or Waystar is a plus.
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Strong knowledge of medical terminology, anatomy, physiology, and coding guidelines.
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Excellent problem-solving, critical thinking, and interpersonal skills.
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Ability to multitask, prioritize, and work independently or as part of a team.
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Positive attitude to foster a cooperative and energetic work environment.
Why Join This Healthcare Team
As a Coding Manager, you’ll play a pivotal role in ensuring compliance, improving operational efficiency, and maximizing revenue collection. This position allows you to leverage your coding expertise, analytical skills, and leadership abilities to make a measurable impact in the healthcare industry.
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