Coding Manager, Robert Half

Coding Manager

Robert Half

Location:

United States, Utica

Category:

Health and Beauty

Contract Type:

Employment contract

Salary:

Not provided

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Job Description:

As the Coding Manager, you're responsible for overseeing the medical coding team, ensuring accurate and compliant coding of diagnoses, procedures, and services across the organization. This role is essential in optimizing the revenue cycle and ensuring that coding processes adhere to regulatory guidelines. The Coding Manager is also responsible for staff management, productivity monitoring, auditing, and providing education to the coding team and clinical staff to improve documentation quality.

Job Responsibility:

Oversee day-to-day operations of the medical coding team, ensuring accurate and timely coding of patient records and claims
Ensure compliance with current coding regulations, payer-specific policies, and guidelines, including CPT, ICD-10, and HCPCS codes
Perform periodic audits to ensure coding accuracy and identify areas for improvement
Manage, mentor, and develop a team of medical coders, ensuring that they stay up to date with changes in coding standards and best practices
Conduct regular performance evaluations, set individual goals, and provide ongoing coaching and support to ensure the team meets performance metrics
Organize and lead training programs to ensure continuous education in coding rules and updates
Ensure compliance with national and local coding regulations, payer requirements, and healthcare laws (e.g., Medicare, Medicaid)
Monitor coding practices to maintain compliance with industry standards and regulatory agencies
Lead coding audits, both internal and external, to ensure the accuracy and completeness of medical coding and documentation
Monitor and analyze coding team productivity and performance, ensuring timely and accurate coding for optimal revenue cycle performance
Prepare and present reports on coding accuracy, productivity, and compliance to senior management
Identify trends, areas for improvement, and implement process enhancements to improve coding operations
Ensure the effective use of coding software and technology, such as EMR/EHR systems, coding software (e.g., 3M Encoder, Epic), and other tools to streamline coding workflows
Work with IT and revenue cycle management to optimize system functionality and address any technical issues
Collaborate with the billing and revenue cycle teams to reduce denials, correct claim submissions, and ensure timely reimbursement
Assist with coding-related inquiries from insurance companies or regulatory agencies

Requirements:

Must have current and relevant coding experience
Must have staff management experience
Excellent communication skills

What we offer:

medical, vision, dental, and life and disability insurance
eligible to enroll in our company 401(k) plan

Additional Information:

Job Posted:

March 26, 2025

Employment Type:

Fulltime

Work Type:

On-site work

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