Coding & Compliance Manager, Surgery

Veterans in Healthcare; Boston (MA); On-site; USD 92,955 - 125,091; Full time

Job summary

Veterans in Healthcare is looking for a Coding & Compliance Manager based at Beth Israel Deaconess Medical Center in Boston, MA. This full-time position requires overseeing the coding team, ensuring compliance, and developing team performance.

The candidate must have a high school diploma/GED, certification as a Professional Coder, and relevant experience. Advanced skills in Microsoft Office are essential for managing complex documents and databases.

The role includes a competitive salary range of $92,955 to $125,091 annually.

Qualifications

• High School diploma or GED required; Bachelor's degree preferred.
• Certified Professional Coder (CPC) required.
• 5-8 years of related work experience.
• Advanced skills with Microsoft Office and web-based applications.

Responsibilities

• Oversee the coding team and ensure billing compliance.
• Develop coverage models and train staff.
• Sample documentation for coding accuracy.
• Monitor billing and coding efficiencies.
• Conduct training on coding updates.
• Manage daily activities of the coding team.
• Coordinate with compliance and providers on audits.
• Provide coding services and resolve billing issues.
• Ensure compliance with coding requirements.
• Present performance metric reports.

Skills

Decision Making

Problem Solving

Independence of Action

Written Communication

Oral Communication

Knowledge

Team Work

Customer Service

Education

High School diploma or GED

Bachelor's degree

Certified Professional Coder (CPC)

Certified Professional Compliance Officer (CPCO)

Tools

Microsoft Office

Web-based applications

Job description

Coding & Compliance Manager, Surgery

Boston, MA – Beth Israel Deaconess Medical Center

Full‑time, day shift, exempt (FLSA).

Primary Responsibilities

• Oversee the scope, direction, and effectiveness of the coding team, supporting department billing protocols, standards, and compliance.
• Develop and implement coverage models, cross‑train staff across specialties, and ensure coding consistency.
• Sample medical documentation to ensure coding and billing compliance, identify trends, and provide training needs.
• Monitor and minimize billing and coding inefficiencies by reviewing accuracy, production, audit trends, and implementing corrective actions.
• Present audit results to stakeholders and conduct presentations/training sessions on documentation, coding updates, medical necessity, and modifier principles.
• Plan and oversee daily coding team activities, provide feedback on training needs, performance, and process improvement; recommend hiring and terminations as needed.
• Act as point person for all HMFP audits of medical documentation and post‑payment audits, working with compliance, providers, and billing services.
• Provide coding services to divisions; work with billing service to resolve denials and other billing issues.
• Ensure compliance accuracy related to E&M and procedural coding, documentation requirements, and charge‑ticket entry/billing process.
• Develop and present performance metric reports; serve on committees; maintain relationships with third‑party billing companies.

Required Qualifications

• High School diploma or GED required; Bachelor's degree preferred.
• Certified Professional Coder (CPC) required.
• 5‑8 years of related work experience.
• Advanced skills with Microsoft Office and web‑based applications; ability to produce complex documents and maintain databases.

Preferred Qualifications

• Certified Professional Compliance Officer (CPCO).

Competencies

• Decision Making – ability to make decisions guided by precedents, policies, and objectives.
• Problem Solving – address varied, complex, non‑recurring problems using innovative techniques.
• Independence of Action – set goals and execute with limited guidelines.
• Written Communication – summarize and communicate complex information in varied written formats.
• Oral Communication – convey complex verbal information to staff, patients, families, and customers.
• Knowledge – demonstrate in‑depth knowledge of concepts, practices, and policies in complex situations.
• Team Work – lead collaborative teams across functional areas with management impact.
• Customer Service – provide high‑level service and support staff training, resolving service issues promptly.

Other Job Requirements

• Work requires close attention to detail; intermittent breaks acceptable.
• Work varies daily; employee must adapt, exercise independent judgment, and manage priorities.
• No substantial exposure to adverse environmental conditions.
• Health Care Worker Status – no patient contact.
• Close work (paperwork, visual examination), color vision, visual clarity within 3 feet, conversation required.
• Sedentary work; occasional lifting up to 10 pounds; continuous sitting and keyboard use; occasional fine manipulation.

Pay Range

$92,955.00 – $125,091.00 USD (annual base salary). Actual compensation may vary based on seniority, education, certifications, geography, and responsibilities.

Equal Opportunity Employer

Beth Israel Lahey Health is an equal opportunity employer. If you need an accommodation for any part of the application process due to a medical condition or disability, please email [e-mail].