Coding Quality Manager: Orthopedic & E/M Audits

Create Synergies Inc.; Philippines; On-site; PHP 1,200,000 - 1,800,000; Full time

Job summary

Create Synergies Inc. is seeking an experienced Coding Quality Manager to lead our Coding Quality and Audit team in a fast-paced virtual environment.

You will oversee coding quality assurance programs, manage audits, and educate providers and coders to ensure CMS compliance and adherence to ICD-10-CM, CPT, HCPCS, and official guidelines. The ideal candidate has 4+ years of coding audit experience in Orthopedic Surgery or E/M, strong leadership, and active AAPC certifications; AHIMA credentials

Qualifications

• 4+ years of coding audit experience in Orthopedic Surgery and/or E/M coding.
• 2+ years of supervisory experience leading coding teams.
• Active coding certification from AAPC: CPC, CPMA, COSC, CEMC.
• AHIMA certifications CCS-P or CCS considered with relevant experience.
• Associate’s or Bachelor’s degree in Health Information Management or related field preferred.
• Intermediate to advanced proficiency in Microsoft Excel and Office.
• Must pass a coding assessment.

Responsibilities

• Lead and manage the Coding Audit and Education team, providing coaching and oversight.
• Develop, implement, and maintain coding quality assurance and audit programs.
• Conduct coding audits to ensure CMS compliance and guidelines.
• Identify coding trends, risks, and opportunities for improvement.
• Develop and deliver coding education for providers and revenue cycle teams.
• Provide coding guidance as SME on documentation and compliance.
• Review external payer, compliance, and regulatory audits.
• Monitor coding quality metrics and report to leadership.
• Stay current on ICD-10-CM, CPT, HCPCS and CMS updates.
• Collaborate with cross-functional teams to resolve inquiries.
• Drive continuous quality improvement in coding accuracy.

Skills

Coding quality

Auditing

Leadership

Healthcare compliance

Excel

Analytics

Communication coaching

Education

Health Info Mgmt degree

Health Admin degree

Tools

Microsoft Excel

Microsoft Office

Job description

Create Synergies Inc. is seeking an experienced Coding Quality Manager to lead our Coding Quality and Audit team in a fast-paced virtual environment.

You will oversee coding quality assurance programs, manage audits, and educate providers and coders to ensure CMS compliance and adherence to ICD-10-CM, CPT, HCPCS, and official guidelines. The ideal candidate has 4+ years of coding audit experience in Orthopedic Surgery or E/M, strong leadership, and active AAPC certifications; AHIMA credentials