Coding Manager

Altru Health System; United States; Hybrid; USD 87,000 - 131,000; Full time

Benefits offered by this job

Health plan

401(k)

Dental plan

Vision plan

Life and disability insurance

Education assistance

Paid time off (PTO)

Job summary

Altru Health System is seeking a Coding Manager to lead inpatient, outpatient, and professional coding operations. The role directs coding staff, drives performance improvements, and partners with HIM, CDI, and Revenue Cycle teams to ensure accurate documentation and compliant coding.

The position requires strong leadership, extensive coding experience, and a focus on operational excellence in a hybrid work environment in Grand Forks, ND.

Qualifications

• Must be certified in RHIA, RHIT, CPC, CCS, or CIC prior to start.
• Minimum 5 years of coding experience in a healthcare setting.
• Experience leading productivity, quality, and performance improvement initiatives.
• Strong leadership, communication, and employee development skills.

Responsibilities

• Directs and oversees daily operations of the medical coding department, ensuring accurate, timely, and compliant assignment of ICD-10-CM, ICD-10-PCS, CPT, and HCPCS codes.
• Manages, coaches, and develops coding staff through recruitment, onboarding, performance management, education, and professional development initiatives.
• Monitors coding productivity, quality, and coding lag metrics, implementing process improvements to optimize operational efficiency and financial performance.
• Conducts routine coding audits and quality reviews to ensure compliance with federal, state, payer, and organizational coding guidelines and regulations.
• Collaborates with providers, CDI specialists, HIM, Revenue Integrity, Patient Financial Services, and other stakeholders to improve documentation quality and coding accuracy.

Skills

Leadership

Healthcare coding

Data analysis

Process improvement

Staff development

Regulatory compliance

Education

Associate's degree in Healthcare Administration, Business Administration, or a related field

Bachelor's degree in Health Information Management, Healthcare Administration, or Business Administration (preferred)

Job description

Everything we do is underscored by a why - and that why is one another. Location: Altru Health System PO Box 6002 Grand Forks, ND 58201 Pay Range: $87,300.00 - $130,915.00

Summary: Coding Manager

Location: Hybrid (Onsite and Remote) Schedule: Monday-Friday, 8:00 a.m. to 5:00 p.m.

Position Summary

We are seeking an experienced and dynamic Coding Manager to lead and oversee inpatient, outpatient, and professional coding operations. This leadership role is responsible for managing coding staff, monitoring productivity and quality metrics, identifying workflow optimization opportunities, and driving performance improvement initiatives across the coding department. The ideal candidate will possess strong coding expertise, proven leadership skills, and a passion for operational excellence. This individual will collaborate with key stakeholders to ensure coding accuracy, regulatory compliance, productivity standards, and continuous process improvement.

Qualifications Required

• Associate's degree in Healthcare Administration, Business Administration, or a related field.
• Minimum of 5 years of coding experience in a healthcare setting.
• Comprehensive knowledge of inpatient, outpatient, and professional coding operations.
• Demonstrated ability to analyze data, manage workflows, and drive operational improvements.
• Preferred Bachelor's degree in Health Information Management, Healthcare Administration, Business Administration, or a related field.
• Previous supervisory or management experience.
• Strong leadership, communication, and employee development skills.
• Experience leading productivity, quality, and performance improvement initiatives.

What We're Looking For

• Strong leadership and team-building capabilities.
• Strategic thinker with a focus on continuous improvement.
• Excellent problem-solving and decision-making skills.
• Commitment to quality, compliance, and operational excellence.
• Ability to manage multiple priorities in a fast-paced healthcare environment.

Join our team and help shape the future of coding operations through leadership, innovation, and a commitment to excellence in healthcare revenue cycle performance.

Job Description Summary

The Manager Coding provides leadership and oversight for coding operations, ensuring the accurate, timely, and compliant assignment of diagnosis and procedure codes that support quality reporting, regulatory compliance, and appropriate reimbursement. The Manager Coding leads coding staff, drives performance improvement initiatives, and collaborates with providers, clinical departments, HIM, CDI, and Revenue Cycle teams to optimize documentation integrity and coding accuracy. This role is responsible for coding quality, productivity, education, compliance, workflow optimization, and leveraging data analytics to improve financial and operational outcome.

Essential Job Functions:

• Directs and oversees daily operations of the medical coding department, ensuring accurate, timely, and compliant assignment of ICD-10-CM, ICD-10-PCS, CPT, and HCPCS codes.
• Manages, coaches, and develops coding staff through recruitment, onboarding, performance management, education, and professional development initiatives.
• Monitors coding productivity, quality, and coding lag metrics, implementing process improvements to optimize operational efficiency and financial performance.
• Conducts routine coding audits and quality reviews to ensure compliance with federal, state, payer, and organizational coding guidelines and regulations.
• Collaborates with providers, CDI specialists, HIM, Revenue Integrity, Patient Financial Services, and other stakeholders to improve documentation quality and coding accuracy.
• Analyzes coding-related data, trends, denials, and reimbursement impacts to identify opportunities for revenue optimization and risk reduction.
• Develops, maintains, and enforces coding policies, procedures, and standard work processes that support regulatory compliance and operational excellence.
• Serves as a subject matter expert on coding regulations, reimbursement methodologies, payer requirements, and industry best practices, providing education and guidance to leadership and clinical teams.
• Partners with compliance and audit teams to investigate coding concerns, resolve discrepancies, and implement corrective action plans when necessary.
• Leads strategic initiatives related to coding technology, workflow automation, artificial intelligence tools, and system optimization to enhance coding accuracy, efficiency, and scalability.
• Performs other duties as assigned or needed to meet the needs of the department/organization.

Certification:

• Registered Health Information Administrator (RHIA) – American Health Information Management Association (AHIMA) – Prior to Start Date – HR Primary Sources
• Registered Health Information Technician (RHIT) – American Health Information Management Association (AHIMA) – Prior to Start Date – HR Primary Sources
• Certified Professional Coder (CPC) – American Academy of Professional Coders – Prior to Start Date – HR Primary Sources
• Certified Coding Specialist (CCS) – American Health Information Management Association (AHIMA) – Prior to Start Date – HR Primary Sources
• Certified Inpatient Coder (CIC) – American Academy of Professional Coders (AAPC) – Prior to Start Date – HR Primary Sources

Notes: Must be certified in RHIA, RHIT, CPC, CCS, or CIS.

Education:

• Required: Associates - Business Administration/Management- OR -Associates - Health Administration- OR -Associates - Related Field

Work Experience:

Required: A minimum of 5 years Related Experience

Language Requirements:

This position requires proficiency in reading, writing, and speaking English to ensure effective communication in the workplace and with patients, families, and team members.

Physical Demands:

• Sit: Frequently (34-66%)
• Stand: Occasionally (5-33%)
• Walk: Occasionally (5-33%)
• Stoop/Bend: Rarely (1-4%)
• Reach: Frequently (34-66%)
• Crawl: Not Applicable
• Squat/Crouch/Kneel: Rarely (1-4%)
• Twist: Occasionally (5-33%)
• Handle/Finger/Feel: Continuously (67-100%)
• See: Continuously (67-100%)
• Hear: Continuously (67-100%)

Weight Demands:

• Lift -Floor to Waist Level: Sedentary (<10 pounds)
• Carry: Sedentary (<10 pounds)
• Push/Pull: Sedentary (<10 pounds)
• Slide/Transfer: Not Applicable

Working Conditions:

• Indoor: Continuously (67-100%)
• Outdoor: Not Applicable
• Extreme Temperature: Not Applicable

Driving Requirement Definitions:

Professional Drivers: Persons who drive as their main responsibility OR transport passengers or hazardous materials.

Frequent Drivers: Persons whose main responsibility is not driving, but drive daily or almost daily.

Occasional Drivers: Persons who drive from once per month to as frequently as once per week.

Infrequent Drivers: Persons who are generally not expected to drive.

Driving Requirement for this position:

Infrequent Driver Reference ID: R8341

Making a real difference.

For one another. To take the best care of our patients and community - including friends, family, and neighbors, we need people who are committed to growth, excellence, and one another.

Benefits

• health plan
• 401(k) retirement plan
• dental plan
• vision plan
• life and disability insurance
• education assistance
• paid time off (PTO)

Altru provides reasonable accommodations to individuals with disabilities to increase opportunities and eliminate barriers to employment. If you need a reasonable accommodation in the application process to access job postings, to apply for a job, for a job interview, for pre-employment testing, or with the onboarding process, please contact Altru’s Human Resources Department at [e-mail] or 701.780.5107.

Altru is an Equal Opportunity Employer. Learn more or to request a copy of our Equal Employment Opportunity and Eligibility policy and Affinitive Action Plan at no charge, please contact Altru’s Human Resources Department at [e-mail] or 701.780.5107. Additionally, the following poster is available through the Department of Labor: Know Your Rights. Altru participates in E-Verify and may provide the Social Security Administration and, if necessary, the Department of Homeland Security with information from each new employee's Form I-9 to confirm work authorization.