Coding Services Manager

Our client, a large healthcare organization, is seeking an experienced Coding Operations Manager to oversee the daily operations of physician office and professional fee coding services. This leader will ensure accurate, compliant coding practices in alignment with established guidelines and regulatory requirements.

The role is responsible for coordinating the accurate assignment of professional services codes, maintaining regulatory compliance, and supporting revenue cycle integrity. This position also plays a key role in setting operational priorities, participating in audit initiatives, and providing targeted education to the coding team based on audit findings and performance trends.

Education & Experience

Bachelor’s degree in Health Information Management or a related field (or equivalent experience)

Minimum of five (5) years of coding and/or auditing experience in an acute care setting

At least three (3) years of supervisory or management experience

Required Certifications

One or more of the following credentials is required:

Certified Professional Coder (CPC)

Multiple specialty-specific certifications from AAPC

Certified Coding Specialist – Physician-based (CCS-P)

Certified Coding Specialist (CCS)

Registered Health Information Technician (RHIT)

Registered Health Information Administrator (RHIA)

Key Knowledge Areas

Federal, state, and local coding regulations

ICD-10-CM/PCS, CPT (including E/M), and HCPCS coding guidelines

Medicare, Medicaid, and commercial payer documentation and billing regulations

Revenue cycle workflows, including charge capture, code edits, auditing, denials management, and documentation improvement

Budget principles and operational planning

Information governance, confidentiality, and patient rights

Data collection and analysis methodologies

Electronic health record (EHR) systems and encoder/CAC platforms (e.g., 3M 360 or similar)

Hospital safety practices, infection control standards, and emergency response procedures

Core Competencies

Effective team leadership and staff development

Conflict resolution and performance management

Data analysis and interpretation of medical and statistical reports

Establishing and implementing performance standards

Problem-solving and operational improvement

Strong communication skills across diverse teams and stakeholders

Ability to build and maintain collaborative working relationships

Proficient use of computer systems and data management tools

This position offers the opportunity to lead a high-performing coding team while driving operational excellence and compliance within a dynamic healthcare environment.