Location: Remote - FloridaDepartment: Coding
Work Type: Full Time
Shift: Shift 1/ to
Minimum to Midpoint Pay Rate: $38.48 - $50.01 / hr
SummaryLee Health is seeking a
Manager, Medical Coding & Education to lead our Physician Group (LPG) coding education and reimbursement specialist teams. This role plays a critical part in strengthening documentation quality, coding accuracy, and denial prevention across the organization. The Manager will oversee educational audit programs, develop provider education initiatives, and guide teams responsible for coding education, denial appeals, and documentation improvement.
This position partners closely with physicians, advanced practice providers (APPs), coding teams, revenue integrity, compliance, and information systems teams to support accurate claims reporting, regulatory compliance, and optimized reimbursement. The ideal candidate brings deep professional coding expertise, leadership experience, and the ability to translate complex regulatory guidance into actionable education for providers and operational leaders.
What You'll Do- Lead and oversee the LPG Coding Education and Reimbursement Specialist teams, ensuring high-quality audits, education initiatives, and denial prevention strategies.
- Develop and maintain coding education programs, presentations, tip sheets, newsletters, and on-demand training focused on documentation improvement and coding accuracy.
- Analyze trends in coding errors, documentation deficiencies, and claim denials, and implement targeted education plans to address improvement opportunities.
- Provide subject matter expertise on CPT, HCPCS, ICD-10-CM, and E/M documentation guidelines for physicians, APPs, coders, and leadership.
- Research, appeal, and resolve denied insurance claims related to coding and documentation accuracy to protect organizational revenue.
- Communicate complex regulatory guidance from agencies such as CMS, AMA, OIG, and other regulatory bodies into clear, actionable education.
- Maintain detailed records of audits, provider outcomes, and educational initiatives while monitoring performance improvement efforts.
- Collaborate with Compliance, Revenue Integrity, Coding, and Accounts Receivable teams to ensure accurate claims reporting and regulatory adherence.
- Partner with Information Systems and Medical Informatics teams to enhance Epic documentation tools, including templates, smart phrases, and workflow improvements.
- Represent coding and documentation education in committees, meetings, and new service line planning initiatives.
Required QualificationsEducation- Associate's degree in business or a related field or two years of relevant experience in lieu of a degree.
Experience- Minimum 3 years of professional coding experience.
- Minimum 2 years of supervisory or project leadership experience.
- Extensive knowledge of CPT, HCPCS, ICD-10-CM, outpatient coding, E/M guidelines, and documentation standards.
- Experience researching and resolving coding-related claim denials.
Certifications- CPC - Certified Professional Coder (required)
- CPMA - Certified Professional Medical Auditor (required)
Preferred Qualifications- Experience in coding education, training, or leadership roles.
- Experience presenting to physicians, leadership, and operational teams.
- Proficiency in Microsoft Office (Word, Excel, PowerPoint).
Key Skills- Strong communication and presentation skills with the ability to educate providers and leadership audiences.
- Excellent analytical thinking and investigative research skills.
- Ability to interpret regulatory guidance and translate it into actionable education.
- Highly organized with strong attention to detail and the ability to manage multiple priorities.
- Collaborative mindset with the ability to work effectively across departments and leadership levels.
- Adaptability and resilience in a dynamic, fast-paced healthcare environment.
Location: Remote - must reside in Florida.
