Manager, Coding

Role Summary:  

The Coding Manager is responsible for policies and procedures, performance, and oversight of the coding team. This role is responsible for managing daily operations, achieving productivity metrics and ensuring goals are met. The Coding Manager will train and mentor the team as well as onsite provider training, as required.  The manager will be responsible for researching new lines of business and advising management of pertinent coding regulations. 

Responsibilities:  

• Manages the coding and audit department developing policies and procedures and ensuring corporate compliance to coding guidelines.  Discusses coding results with physicians and Executive Leadership providing input on quality improvement. 

• Analyze data, identify issues, reach conclusions, and propose strategies for resolution of complex coding issues, along with leadership.  Meet with physicians to train on new lines of business and set up charge capture workflows.  

• Responsible for researching billing and coding guidelines for new or current service lines.  

• Responsible for overseeing E&M and CPT coding audits, physician education training and other projects related to physician coding compliance in fulfillment of the practice’s compliance program. 

• Complete all quarterly PEx plans and deliver feedback to the staff including quarterly coaching.   

• Keeps informed regarding current billing and coding regulations, auditing, professional standards and company/department policies and procedures and effectively applies this knowledge and disseminates to staff and other management team members.  

• Keeps informed of HCC coding regulations and manages the HCC workflow within the department alongside the Care Transformation team. 

• Successfully leads and mentors the team, provides coding education and training. 

• Identifies process improvement opportunities that enhances the performance of the department. 

• Responsible for ensuring the team meets and maintains the company standard for coding performance and quality. 

• Provides performance management/corrective action when productivity and quality goals are not met. 

• Partners with the management team to ensure compliance with