Coding Manager: This 1.0FTE/Full-Time position is scheduled to work Monday-Friday.
Compensation: Exempt, $43.30/HR-$61.85/HR
Benefits:Job Summary:The Coding Manager is responsible for providing leadership, oversight, and strategic direction for hospital, ancillary, and professional coding operations. This position is accountable for coding quality, productivity, regulatory compliance, staff development, and operational efficiency, and contributing to clinical documentation integrity (CDI), and overall revenue cycle performance. The Coding Manager works collaboratively with Patient Financial Services (PFS), Patient Access, Health Information Management (HIM), Medical Staff, Compliance, Clinical Operations, Information Technology, and other Revenue Cycle stakeholder leadership to ensure timely, accurate, and compliant coding practices that support appropriate reimbursement and organizational goals. This position promotes a culture of accountability, continuous improvement, operational excellence, and regulatory compliance.
Essential Duties and Responsibilities:- Provides leadership and operational oversight for hospital, ancillary, and professional coding operations, ensuring coding services are performed accurately, timely, and in accordance with organizational policies, regulatory requirements, and industry best practices.
- Directly supervises coding staff and is responsible for recruitment, onboarding, performance management, staff development, succession planning, employee engagement, and retention.
- Establishes, monitors, and reports on coding productivity, quality, accuracy, turnaround time, and compliance metrics, ensuring departmental and organizational performance goals are achieved.
- Develops, implements, and maintains coding policies, procedures, workflows, and department-specific coding guidelines and standard work to support consistency, compliance, and operational efficiency.
- Serves as an organizational subject matter expert on ICD, CPT, PCS, HCPCS, authoritative coding guidelines, CMS coding regulations, National Correct Coding Initiative (NCCI) edits, and payer-specific coding requirements and reimbursement methodologies.
- Provides education, coaching, and technical guidance to coding staff; PFS, Patient Access, and HIM personnel; providers; and other revenue cycle stakeholders regarding coding, documentation, and reimbursement requirements.
- Oversees internal coding quality assurance activities, coding audits, productivity monitoring, and external audit coordination; develops and monitors corrective action plans as appropriate.
- Tracks coding quality and productivity trends, identifies opportunities for improvement, and implements education, workflow enhancements, and process improvements to achieve departmental targets.
- Partners with Patient Financial Services, Patient Access, Health Information Management, Providers, Compliance, Clinical Operations, and other Revenue Cycle stakeholders to improve documentation quality, coding accuracy, denial prevention, and reimbursement outcomes.
- Collaborates with denial management and operational teams to identify denial trends, determine root causes, and implement corrective actions to reduce preventable denials.
- Participates in electronic health record (EHR) optimization, coding system testing, workflow redesign, charge capture improvements, and implementation of technology solutions impacting coding operations.
- Supports organizational readiness for audits, accreditation surveys, compliance reviews, and regulatory inspections, including development and implementation of corrective action plans when necessary.
- Assists with departmental budgeting, staffing analysis, productivity forecasting, strategic planning, and resource allocation.
- Provides regular operational, quality, productivity, and compliance reporting to leadership and recommends opportunities for continuous improvement.
- Remains current on coding regulations, reimbursement methodologies, and healthcare industry best practices and ensures staff education regarding regulatory changes.
- Participates in leadership meetings, committees, and organizational initiatives as assigned.
- Other duties as assigned.
Required Education and Experience: - Bachelor's degree in Healthcare Administration, Business Administration, or related field required.
- Minimum five (5) years of progressively responsible coding experience in an acute care hospital environment, including inpatient and outpatient coding.
- Minimum three (3) years of supervisory or management experience with responsibility for staffing, performance management, quality improvement, and operational outcomes.
- Experience with coding quality auditing, coding compliance, denial management, and reimbursement methodologies required.
- Experience working within an electronic health record (EHR) and encoder/computer-assisted coding environment required.
Required Licenses, Certifications and/or Registrations:- Certified Coding Specialist (CCS)(AHIMA) or
- Certified Professional Coder (CPC), Certified Outpatient Coder (COC), and Certified Inpatient Coder (CIC)(AAPC) required.
Required Knowledge, Skills and Abilities:- Comprehensive knowledge of hospital and professional coding principles, including ICD, CPT, PCS, HCPCS, MS-DRGs, APCs, authoritative coding guidelines, National Correct Coding Initiative (NCCI) edits, and reimbursement methodologies.
- Knowledge of federal and state healthcare regulations, including CMS, HIPAA, payer requirements, accreditation standards, and documentation requirements affecting coding and reimbursement.
- Ability to lead, develop, coach, and evaluate staff, fostering a culture of accountability, collaboration, continuous improvement, and high performance.
- Strong analytical and problem-solving skills with the ability to interpret coding, productivity, quality, denial, and financial data to identify trends, recommend solutions, and improve operational performance.
- Ability to develop, implement, and maintain policies, procedures, workflows, and quality improvement initiatives that promote coding accuracy, operational efficiency, and regulatory compliance.
- Excellent written and verbal communication skills, with the ability to effectively educate, influence, and collaborate with physicians, clinical staff, revenue cycle teams, executive leadership, and external agencies.
- Knowledge of revenue cycle operations, including charge capture, billing, claims processing, denial management, reimbursement methodologies, and documentation improvement practices.
- Proficiency with electronic health record (EHR) systems, encoder software, computer-assisted coding technologies, Microsoft Office applications, and reporting tools used to monitor coding operations and performance.
- Ability to prioritize multiple projects and operational responsibilities, manage competing deadlines, and adapt to changing regulatory requirements and organizational priorities.
- Ability to maintain confidentiality and exercise sound judgment while handling protected health information (PHI), sensitive personnel matters, compliance issues, and operational decision-making.
