Coding Services Manager

Our client a large healthcare organization is seeking an experienced Coding Operations Manager to oversee the daily operations of physician office and professional fee coding services. This leader will ensure accurate compliant coding practices in alignment with established guidelines and regulatory requirements.

The role is responsible for coordinating the accurate assignment of professional services codes maintaining regulatory compliance and supporting revenue cycle integrity. This position also plays a key role in setting operational priorities participating in audit initiatives and providing targeted education to the coding team based on audit findings and performance trends.

Education & Experience

• Bachelors degree in Health Information Management or a related field (or equivalent experience)

• Minimum of five (5) years of coding and/or auditing experience in an acute care setting

• At least three (3) years of supervisory or management experience

Required Certifications

One or more of the following credentials is required:

• Certified Professional Coder (CPC)

• Multiple specialty-specific certifications from AAPC

• Certified Coding Specialist Physician-based (CCS-P)

• Certified Coding Specialist (CCS)

• Registered Health Information Technician (RHIT)

• Registered Health Information Administrator (RHIA)

Key Knowledge Areas

• Federal state and local coding regulations

• ICD-10-CM/PCS CPT (including E/M) and HCPCS coding guidelines

• Medicare Medicaid and commercial payer documentation and billing regulations

• Revenue cycle workflows including charge capture code edits auditing denials management and documentation improvement

• Budget principles and operational planning

• Information governance confidentiality and patient rights

• Data collection and analysis methodologies

• Electronic health record (EHR) systems and encoder/CAC platforms (e.g. 3M 360 or similar)

• Hospital safety practices infection control standards and emergency response procedures

Core Competencies

• Effective team leadership and staff development

• Conflict resolution and performance management

• Data analysis and interpretation of medical and statistical reports

• Establishing and implementing performance standards

• Problem-solving and operational improvement

• Strong communication skills across diverse teams and stakeholders

• Ability to build and maintain collaborative working relationships

• Proficient use of computer systems and data management tools

This position offers the opportunity to lead a high-performing coding team while driving operational excellence and compliance within a dynamic healthcare environment.