Coding Manager: Revenue Cycle & Client Leadership

HURC; Short Hills (NJ); Sur place; USD 120 000 - 180 000; Plein temps

Résumé du poste

HURC seeks a Coding Manager, Professional Fee Medical Coding to oversee the provider-based medical coding team, ensuring high accuracy, compliance, and efficiency for HURC clients.

The role acts as a client-facing SME, evaluating professional fee coding and revenue cycle operations, identifying performance opportunities, and leading implementation initiatives to improve coding accuracy, reimbursement, and financial outcomes.

Qualifications

• Bachelor's degree in health information management, Healthcare Administration, Business, Finance, or related field; equivalent experience may be considered.
• 7+ years of progressive experience in professional fee coding, billing, HIM, revenue cycle, or healthcare financial operations; credentialed coder with RHIA/RHIT/CPC/CCS/CCS-P.
• 2+ years of leadership or supervisory experience.
• Strong understanding of professional fee billing and revenue cycle operations.
• Experience with Epic or other major EHR platforms.
• Experience with encoder, CAC, CDI, billing, or revenue cycle technology.
• Experience with hospital denials and appeals.
• Experience with revenue integrity.
• Experience working with outsourced coding or revenue cycle organizations.

Responsabilités

• Supervises day-to-day coding operations for professional fee claims across multiple clinical specialties.
• Monitor workflow and ensure compliance with standard operating procedures (SOPs).
• Steps in for hands-on support on complex coding reviews and escalated coding issues from the customer and coders.
• Monitor program performance and develop corrective action and improvement plans.
• Identify opportunities to improve coding accuracy, reimbursement, productivity, quality, and financial performance.
• Provide subject matter expertise in professional fee coding and billing.
• Evaluate coding and billing workflows and identify operational gaps.
• Review coding accuracy, productivity, quality, reimbursement, and compliance trends.
• Evaluate the relationship between documentation, coding, billing, reimbursement, and denials.
• Identify opportunities to reduce coding-related denials and prevent revenue leakage.
• Evaluate charge capture, claim submission, edits, billing workflows, and payer requirements.
• Partner with CDI, coding, utilization review, denials, and revenue cycle teams to improve overall financial performance.
• Maintain knowledge of ICD-10-CM/PCS, CPT, HCPCS, modifiers, edits, medical necessity, and applicable payer requirements.

Connaissances

Leadership

Communication

Client-facing

Analytics

Formation

Bachelor's degree (Health Information/Healthcare Administration/Related)

Outils

Epic

Encoder

CAC

CDI

Revenue Cycle Tech

Description du poste

HURC seeks a Coding Manager, Professional Fee Medical Coding to oversee the provider-based medical coding team, ensuring high accuracy, compliance, and efficiency for HURC clients.

The role acts as a client-facing SME, evaluating professional fee coding and revenue cycle operations, identifying performance opportunities, and leading implementation initiatives to improve coding accuracy, reimbursement, and financial outcomes.