Professional Coding Manager

About the role

Provides operational oversight for professional coding functions.

Responsibilities

• Provide leadership and supervision to multi-specialty coding team, ensuring accurate and timely coding of encounters by ICD-10, CPT, and HCPCS standards and CMS, HRSA, and payer-specific guidelines.
• Ensure effective collaboration between providers, coders, and billers to support compliant documentation and optimal coding outcomes.
• Collaborate with clinical providers to enhance documentation quality and accuracy, supporting compliant billing, appropriate risk stratification, and accurate Uniform Data System (UDS) reporting.
• Conduct routine internal coding audits and chart reviews to monitor accuracy, identify trends, and implement corrective actions supporting compliance and data integrity.
• Maintain current knowledge of federal, state, and payer coding regulations and update internal protocols and workflows to ensure compliance and operational consistency.
• Design and deliver ongoing training for providers and coding staff on documentation improvement, regulatory changes, and best practices for accurate and compliant coding.
• Monitor coding productivity, accuracy, and quality metrics; develop and implement performance improvement plans to meet departmental and organizational benchmarks.
• Assist in the development and implementation of policies, procedures, and system enhancements to ensure optimal reimbursement with regulatory requirements across Revenue Cycle units.
• Partner in developing strategy to address high-risk coding practices, recommendations for corrective action plans or process improvements and creates policies, procedures, and internal controls which reinforce the highest level of standard coding quality goals and outcomes.
• Identify and address change management issues related to the evolution of the Revenue Cycle environment.
• Provide leadership for process improvement and redesign to improve customer satisfaction, reduce costs, and/or meet departmental and institutional goals and objectives.
• Track and report coder productivity, collecting relevant data.
• Monitor key performance indicators/metrics and enact action plans to encourage exceptional results.
• Supervises: Coding Specialist, Sr. Coding Specialist.

Qualifications

To perform this job successfully, an individual must be able to perform each essential function satisfactorily.

• Required Education: Verifiable completion of a Bachelor's degree in Health Information Management or related field; five (5) years of coding experience may be considered in lieu of degree.
• Preferred Education: Master's Degree in Health Information Management or related field.
• Required Experience: Five (5) years of professional coding experience; two (2) years of management experience; three (3) years of Epic and/or Athena experience.
• Licenses/Certifications: Certified Coding Specialist (CCS) or Certified Professional Coder (CPC) certification.