Coding Manager - Epic Professional Billing

Key Responsibilities

• Provide oversight of global professional coding team performance.
• Act in the role of professional coding point of contact for multiple clients.
• Manage relationships with global professional coding leadership.
• Maintain EPIC coding edit work queues, resolving coding edits to ensure accurate and timely claims submission.
• Support global professional coding teams through Epic system analytics and reporting.
• Provide guidance on CMS and commercial payer regulations, ensuring adherence to current coding and billing standards.
• Conduct ongoing compliance monitoring and risk assessments to prevent coding errors and revenue leakage.
• Serve as a coding subject matter expert for Revenue Cycle Management (RCM) teams, resolving complex coding and denial-related issues.
• Supervise and support professional coding staff including hiring, onboarding, scheduling, and performance management.
• Monitor coding productivity, accuracy, and turnaround time for coding completion.
• Ensure timely resolution of coding-related edits and billing holds.
• Manage multiple work demands simultaneously.

Quality & Compliance

• Conduct coding audits and accuracy reviews, ensuring compliance with ICD-10, CPT/HCPCS, and applicable CMS/OIG regulations.
• Address coding-related denials and partner with billing and A/R teams to identify root causes.
• Stay current with regulatory and coding updates and disseminate guidance to staff.
• Ensure coding policies & procedures are current and reflect the most compliant/accepted practices for professional coding.
• Ensure compliance of federal, state and HIPAA guidelines.

Collaboration & Support

• Work closely with HIM, Revenue Integrity, CDI, Billing, and Clinical departments to ensure clean claim generation.
• Support charge description master (CDM) accuracy through collaboration with revenue integrity.
• Cook with IT on encoder, EHR, and CAC system optimization.

Education & Training

• Provide regular coder education on coding updates, documentation changes, and audit findings.
• Mentor coding leads or senior coders to support succession planning and career development.

Core Qualifications

• Current permanent US Work Authorization required.
• Associate or bachelor’s degree in health information management or healthcare administration.
• 5+ years of experience in professional medical coding with an additional 2+ years in a coding leadership role.
• AAPC Certification Required: CPCEpic experience and proficiency.
• Experience with 3M/Solventum Encoder.
• Previous experience managing remote coding teams.
• Understanding of multiple specialties e.g. E/M, Emergency Medicine, Family practice, Hospitalists, OB, critical care, ancillary, IV infusion, outpatient departments, Urgent Care, Primary Care, Inpatient E/M, Pediatrics, Observation, Ancillary services, and claim edit work queues.
• Strong knowledge of HCCs, NCCI edits, and medical necessity concepts.
• Current permanent U.S. Work Authorization required.
• Strong communication skills and desire to work as part of a team in a partnership role.
• Advanced excel skills, working knowledge of advanced Tableau and /or other data mining and data visualization tools, report writing and workflow design.
• AHIMA Certification preferred (in addition to the required CPC): RHIT or RHIA
• Professional coding auditing experience preferred.
• Large Health system experience preferred.
• Matrix management organization.
• Experience working with global coding teams.
• Experience working with data from various sources preferred.

Pay

The estimated salary range for this job is $90,000- $130,000. The range represents a good faith estimate of the range that Huron reasonably expects to pay for this job at the time of the job posting. The actual salary paid to an individual will vary based on multiple factors, including but not limited to specific skills or certifications, years of experience, market changes and required travel.