Position Summary

The Medical Coding Manager provides operational leadership for coding activities across assigned specialties and service lines. This role ensures coding accuracy, productivity, and compliance with applicable regulatory and payer requirements, while partnering with billing, clinical, and compliance teams to support clean claim submission, reduce denials, and protect revenue integrity.

Key Responsibilities

Team Leadership & Development

• Lead, coach, and develop coding staff (in-house and outsourced resources) to support accuracy, consistency, and accountability
• Support recruiting, onboarding, training, and competency validation for new and existing team members
• Establish clear performance expectations and conduct regular evaluations aligned to quality and productivity standards
• Address performance gaps through structured coaching and corrective action plans as needed

Operational Oversight

• Oversee day-to-day coding operations to ensure timely completion of encounters and consistent application of coding standards
• Develop and maintain workflows that improve productivity, turnaround time, and coding accuracy across specialties
• Ensure appropriate work distribution based on complexity, volume, and team capacity
• Maintain departmental policies and procedures consistent with official coding guidelines and payer requirements

Compliance & Audit Oversight

• Oversee internal and external coding audits, ensuring timely response, documentation support, and completion of corrective actions
• Monitor adherence to federal, state, and payer-specific coding rules, including documentation requirements
• Identify risk areas and implement corrective and preventive action plans to reduce compliance exposure
• Maintain audit-ready processes and participate in compliance initiatives, education, and reporting

Revenue Cycle & KPI Management

• Monitor team KPIs, including coding quality scores, productivity, and turnaround times
• Partner with billing and revenue cycle leadership to support clean claim submission and reduce coding-related denials
• Identify trends impacting reimbursement (e.g., documentation gaps, modifier usage, payer edits) and implement targeted improvements
• Cross-Functional Collaboration
• Partner with providers, clinical leadership, and compliance to promote complete and accurate documentation
• Serve as a resource for coding guidance, escalation support, and interpretation of coding rules
• Collaborate with billing, AR, and payer relations teams on payer-specific coding strategies and issue resolution
• Support contract review, LOA alignment, and operational readiness for new payers, services, or documentation requirements

Qualifications

• 5+ years of professional medical coding experience across one or more specialties
• 3-4+ years of people leadership experience preferred
• Working knowledge of ICD-10-CM, CPT, HCPCS, and modifier application, as applicable to the organization's services
• Strong understanding of coding compliance principles and audit readiness expectations
• Demonstrated ability to manage workflows, track metrics, and drive continuous improvement
• Proficiency with EHR and coding/billing systems, encoder tools, and productivity tracking platforms

Preferred Experience

• Active coding credential (e.g., CPC, CCS, CIC) preferred based on specialty and service mix
• Experience managing coding operations in a multi-specialty or service-based environment
• Cross-functional experience partnering with billing and AR teams to address denials and documentation-related revenue risk