Professional Coding Manager

Responsibilities

• Supervises the daily activities and performance of the professional services coding staff.
• Ensures accurate and timely coding for all professional billing across the organization.
• Oversees workload distribution, productivity, and quality assurance processes.
• Conducts regular reviews of coding accuracy, documentation quality, and regulatory compliance.
• Provides ongoing education, coaching, and training to internal staff and external stakeholders.
• Serves as a resource for coding-related policies, guidelines, and payer requirements for government and commercial.
• Serves as a resource for coding for new department build, provider onboarding and new business lines.
• Ensures adherence to federal, state, and payer-specific coding regulations and guidelines.
• Maintains updated knowledge of CPT/HCPCS, ICD-10-CM, and all applicable regulatory updates.
• Guides staff in proper code assignment, documentation standards, and audit readiness.
• Analyzes coding trends at the provider and departmental levels.
• Communicates findings and recommend corrective or improvement strategies with Revenue Cycle, IT, CDI Manager and Operations as needed.
• Leads or supports performance improvement initiatives in collaboration with other departments.
• Works closely with the Manager of Clinical Documentation Improvement to support cohesive documentation and coding practices.
• Captures and coordinates efforts to enhance the accuracy and completeness of clinical documentation.
• Identifies opportunities to enhance efficiency through automated workflows.
• Evaluates and implements AI-based tools to support coding accuracy, productivity, and compliance.
• Ensures the coding team is trained and ready to adopt new technologies effectively.

Requirements

• Bachelor's Degree Required or Other / Certificate 4 years' healthcare experience in lieu of degree.
• 5 years, Physician coding experience Required.
• 2 years, Leadership level working in physician office or central billing office Preferred.
• Certified Professional Coder (CPC) - Certification, AAPC Certified Professional Coder Required.