The Medical Coding Manager is responsible for overseeing the day-to-day operations of the coding department to ensure accurate, timely, and compliant coding of medical records. This role involves managing a team of medical coders, implementing quality control processes, ensuring adherence to ICD-10-CM, CPT, and HCPCS coding guidelines, and coordinating with clinical and billing teams to optimize revenue cycle performance.
Key Responsibilities:
Supervise and manage daily operations of the medical coding team.
Review and audit medical coding for accuracy and compliance with federal regulations and payer requirements.
Train, mentor, and evaluate coding staff to ensure high performance and professional development.
Implement and monitor coding policies, procedures, and performance standards.
Ensure timely and accurate coding to meet billing and reimbursement deadlines.
Collaborate with physicians, billing, and compliance teams to resolve coding-related discrepancies.
Maintain current knowledge of coding updates, compliance regulations, and industry trends.
Prepare departmental reports and dashboards on productivity, accuracy, and KPIs.
Assist with internal and external audits and take corrective action as needed.
Ensure HIPAA and data confidentiality compliance at all times.
Qualifications:
Bachelor's degree in Health Information Management, Nursing, or related field (preferred).
Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or equivalent certification required.
Minimum 5 years of experience in medical coding with at least 2 years in a supervisory or managerial role.
Strong knowledge of ICD-10, CPT, HCPCS, and DRG coding systems.
Familiarity with payer guidelines, CMS regulations, and healthcare billing processes.
Proficient in EHR/EMR systems and coding software.
Excellent leadership, communication, and organizational skills.
Preferred Skills:
Experience in coding for multiple specialties or inpatient/outpatient settings.
Knowledge of risk adjustment and HCC coding.
Experience with coding audits and compliance programs.
Data-driven mindset with proficiency in Excel or analytics tools.
Job Type: Full-time
Pay: Up to ?90,000.00 per month
Benefits:
Health insurance
Leave encashment
Life insurance
Paid sick time
Paid time off
Provident Fund
Schedule:
Monday to Friday
Night shift
US shift
Work Location: In person
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