Job Details

TITLE: Coding Manager

LOCATION: Mount Pleasant, TX

SCHEDULE: Full Time

PAY RANGE: $27-52/Hr., dependent on years of experience

TYPE: Direct Hire, Exempt

JOB SUMMARY:

The Coding Manager plays a critical role in ensuring accurate and compliant coding practices for organization. This leadership position requires a deep understanding of medical coding guidelines, strong analytical skills, and a commitment to quality and efficiency. The Manager will oversee the activities of all internal and external coders, ensuring they assign accurate and timely codes for all healthcare services provided. They will also be responsible for staying abreast of coding regulation updates, implementing process improvements, and maintaining coding compliance

RESPONSIBILITIES:

• Provide comprehensive leadership and oversight for all coding operations.
• Assigns and sequencing accurate diagnosis (ICD-10-CM) and procedure (CPT) codes based on physician documentation and medical records.
• Adheres to all relevant coding guidelines and regulations (e.g., ICD-10-CM, CPT, HCPCS).
• Where applicable, utilizes computer-assisted coding (CAC) systems effectively to enhance accuracy and efficiency.
• Conducts audits to ensure coding accuracy and compliance with established standards.
• Collaborates with external coding leadership, foster a high-performing coding team by:
• Assures organizational goals are met when recruiting, onboarding, and developing skilled medical coders.
• Implements ongoing programs to keep staff up-to-date on specific coding guidelines, regulations, and best practices.
• Fosters open communication and collaboration between departments and the coding team.
• In collaboration with external coding leadership, continuously evaluates and renes coding processes.
• Increases coding accuracy and reduced risk of errors and denials.
• Improves efficiency in coding workflow and turnaround times.
• Effectively utilizes coding technologies and automation tools.
• Ensures all coding practices adhere to relevant laws, regulations, and industry standards including federal and state coding guidelines (ICD-10-CM, CPT, HCPCS).
• Works closely with physicians to ensure accurate and complete medical documentation for optimal coding.
• Creates physician tip sheets to help providers remain informed of coding updates and emerging trends.
• Implements system enhancements that provide assistance to providers to promote accurate charging, coding, and documentation.
• Utilizes data to be informed of coding practices and performance.
• Analyzes coding data to identify trends, potential errors, and areas for improvement.
• Monitors key performance indicators (KPIs) such as coding accuracy rates, coding turnaround times, and denial rates due to coding errors.
• Prepares reports on coding performance and trends for physicians, leadership and relevant stakeholders.
• Builds strong relationships with internal and external departments.
• Partners with the revenue cycle management team to ensure timely and accurate claim submission.
• Collaborates with internal and external IT to maintain and optimize coding, documentation and CDM management.
• Other duties and responsibilities as assigned

SKILLS REQUIREMENTS:

• Strong understanding of medical terminology and disease classification systems.
• Excellent analytical and problem-solving skills.
• Proficient in computer skills and healthcare coding software.
• Strong leadership, communication, interpersonal, and collaboration skills.
• Experience working in a complex healthcare setting with diverse specialties.
• Demonstrated ability to lead and motivate a team to achieve departmental goals

WORK EXPERIENCE REQUIREMENTS:

• Minimum of 5 years of experience in medical coding, with progressive leadership experience.
• In-depth knowledge of ICD-10-CM, CPT, HCPCS coding guidelines and conventions.
• Experience with computer-assisted coding (CAC) systems (preferred).

EDUCATION REQUIREMENTS:

• Bachelor's degree in health information management (HIM), medical coding, or a related field (preferred).
• Certified Coding Professional (CPC) or Certified Professional Coder - ICD-10 (CPC-ICD-10) certification (required).
• Additional coding certifications (e.g., CCS, CPC-H) a plus.