Coding and Charge Entry Manager

About The Job

Coding Operations & Compliance
Oversee all professional fee coding across assigned cardiology practice partners, ensuring accuracy, completeness, and compliance with payer and regulatory requirements.
Monitor coding quality through regular audits, identify trends in errors or denials rooted in coding, and implement corrective action plans.
Ensure adherence to official coding guidelines (ICD-10-CM, CPT, HCPCS) and cardiology-specific coding standards across the team.
Stay current on CMS updates, payer policy changes, and cardiology coding developments and communicate changes to staff in a timely manner.

Charge Entry and Capture
Oversee timely and accurate charge entry within athenaOne, ensuring charges are posted in accordance with CardioOne's charge lag standards.
Monitor charge capture workflows across multiple practice environments, identifying gaps between services rendered and charges submitted.
Collaborate with physicians and clinical staff to resolve missing, incomplete, or unclear documentation that impacts charge capture.
Ensure CPT, ICD-10, and modifier usage is appropriate and consistent across all assigned locations and providers.
Conduct regular vendor performance reviews against defined benchmarks and escalate gaps to leadership.
Ensure vendors have timely access to clinical documentation, payer requirements, CPT codes, and practice-specific routing information needed to execute charges effectively.

Team Leadership & Development

Supervise, mentor, and develop a team of coders and charge entry specialists, providing ongoing coaching, feedback, and performance management.
Set clear performance expectations and monitor KPIs including coding accuracy rates, charge lag, denial rates attributable to coding, and productivity.
Conduct regular one-on-ones, team meetings, and coder education sessions to maintain high standards and keep staff current on coding changes.
Identify staffing needs, participate in hiring decisions, and lead onboarding and training for new team members.

Qualifications

• 5+ years of experience in medical coding and/or charge entry, with at least 1 year in a supervisory or management role
• Cardiology or cardiovascular specialty coding experience strongly preferred, including familiarity with cardiac imaging, interventional procedures, and cardiovascular surgery
• Active coding certification required — CPC, CCS, or equivalent through AAPC
• Proficiency with athenaOne (athenaHealth) is required, including working knowledge of charge entry workflows
• Strong working knowledge of ICD-10-CM, CPT, HCPCS Level II, and modifier usage in a cardiology context
• Experience with cardiology-specific services — including cardiac CT/CTA, PET MPI, echocardiography, nuclear medicine, cardiac monitoring (MCT/MCOT, Holter, ILR), and interventional cardiovascular procedures — is a significant advantage
• Familiarity with J-codes and drug/infusion billing as it relates to cardiology practice is a plus
• Strong analytical, organizational, and communication skills with the ability to present coding performance data to revenue cycle and clinical leadership
• Ability to manage operations across multiple simultaneous practice environments in a fast-paced, growth-oriented organization