Coding Manager - SA

Omega Healthcare Management Services

Boca Raton (FL)

On-site

USD 90,000 - 150,000

Full time

8 days ago

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Job summary

Omega Healthcare Management Services in Boca Raton, FL, seeks a Coding/Abstracting leader to oversee daily operations for inpatient, outpatient, and professional services across regions. You will supervise coders, develop education, and ensure CMS/HIPAA compliance while collaborating with IT to optimize Epic and 3M/Solventum tools.

The role emphasizes performance metrics, audits, budget responsibilities, and staff development; strong communication and leadership are essential to drive accuracy

Qualifications

  • Bachelor’s degree in Health Information Management, Nursing, or related field.
  • Minimum 5 years of progressive coding experience, including inpatient facility coding.
  • Proficiency with Epic EHR and 3M/Solventum coding software.
  • Strong supervisory and team leadership skills.
  • Knowledge of CMS, ICD-10-CM/PCS, CPT, HCPCS, and payer guidelines.

Responsibilities

  • Oversee daily coding operations for inpatient, outpatient, and professional services.
  • Supervise, mentor, and evaluate a team of medical coders.
  • Develop and deliver ongoing education programs for coders and clinical providers.
  • Maintain compliance with CMS, HIPAA, and payer-specific coding guidelines.
  • Collaborate with IT to configure and optimize Epic and 3M/Solventum coding tools.
  • Conduct regular audits and quality reviews to identify and correct coding discrepancies.
  • Prepare and present coding performance metrics to senior leadership.
  • Lead root-cause analysis for denials and implement corrective action plans.

Skills

Epic
3M/Solventum
Audits
Denials
Microsoft Office
Professional Fee

Education

Bachelor’s degree in HIM or related field

Tools

Epic EHR
3M/Solventum coding software

Job description

Provides overall management and direction of coding and abstracting activities. Oversee all duties and responsibilities of the coding staff.

Must understand and demonstrate skill with the use of all Microsoft Office Suite of products

Responds to Coding/Abstracting data and report requests made by Client, physicians, and other internal customers.

Utilizes database queries and reports to perform various auditing functions.

Works with the Medical Staff and other departments for resolution and education of coding, documentation, and reimbursement issues.

Maintains a knowledge base of various payment methodologies, grouping classifications and ICD-10 CM and ICD-10 PCS, as well as ICD-9.

Provides ongoing training and in-service programs for coding staff to support corporate compliance.

Prepares and updates policies and procedures for Coding/Abstracting section, including internal coding guidelines.

Oversees that month end coding activity is closed out for abstracting purposes within the established client timelines.

Prepares monthly management reports on section productivity and quality.

Completes performance reviews, recommend and/or initiate employee selection, promotion, disciplinary and/or discharge actions.

Coordinates coding staff meetings, keeps staff informed of HIMS and regulatory changes, developments, and events.

Assists with system analysis, implementation, testing, database management, maintenance, accuracy, regulatory compliance, troubleshooting, and security of coding/abstracting systems, interfaces, databases, and reporting tools for systems using coding/abstracting data (e.g., 3M, Compass/Allscripts, EPIC, etc.).

Works with Client and IT Analysts to develop products to improve performance, efficiency, and data integrity.

Abides by the Standards of Ethical coding set forth by AHIMA and monitors coding team for violations and reports as areas of concern are identified

Assists in the preparation and monitoring of the operating budgets.

Prepares and completes weekly Omega solutions metrics report.

Work with Omega solutions team to perform vetting on candidates to assure appropriate client assignment.

Meet budgetary goals per client agreement and achieves margins determined by Omega solutions

Meet all SLAs for client engagement.

Oversees management of accounts receivables (DNFB) and manages staffing resources to accommodate daily patient volume within expected turn-around times and financial targets.

Demonstrates the ability to attract, recognize, retain and manage staff and to effectively utilize staff to enhance the facilities and Omega solutions organizational performance.

Regularly participates in virtual meetings, training, coaching, audits, and other work-related interactions using Company-approved collaboration technology, including audio and video, as required by Company or client.

Performs duties in compliance with Company’s policies and procedures, including but not limited to those related to HIPAA and compliance.

Key Success Indicators/Attributes

Ability to prioritize and multi-task in a fast-paced, changing environment.

Demonstrate ability to work in all work types and specialties.

Demonstrate ability to self-motivate, set goals, and meet deadlines.

Demonstrate leadership, mentoring, and interpersonal skills.

Demonstrate excellent presentation, verbal, and written communication skills.

Ability to develop and maintain relationships with key business partners by building personal credibility and trust.

Maintain courteous and professional working relationships with employees at all levels of the organization.

Demonstrate excellent analytical, critical thinking and problem-solving skills.

Skill in operating a personal computer and utilizing a variety of software applications.

  • Critical thinking skills demonstrated by the ability to make key decisions at client sites and with the oversight of direct reports without on-going feedback or supervision from upper management
Responsibilities
  • Oversee daily coding operations for inpatient, outpatient, and professional fee services across Central and West regions.
  • Supervise, mentor, and evaluate a team of medical coders, ensuring performance standards are met.
  • Develop and deliver ongoing education programs for coders and clinical providers.
  • Maintain compliance with CMS, HIPAA, and payer-specific coding guidelines.
  • Collaborate with IT to configure and optimize Epic and 3M/Solventum coding tools.
  • Conduct regular audits and quality reviews to identify and correct coding discrepancies.
  • Serve as the subject‑matter expert for inpatient facility coding and related reimbursement policies.
  • Prepare and present coding performance metrics to senior leadership.
  • Lead root‑cause analysis for denials and implement corrective action plans.
  • Stay current with coding updates, regulations, and industry best practices.
Qualifications
  • Bachelor’s degree in Health Information Management, Nursing, or related field; RHIT, RHIA, or CCS certification preferred.
  • Minimum 5 years of progressive coding experience, including inpatient facility coding.
  • Demonstrated expertise in outpatient and professional fee coding.
  • Strong supervisory and team‑leadership skills with a track record of staff development.
  • Proficiency with Epic EHR and 3M/Solventum coding software.
  • In‑depth knowledge of CMS, ICD‑10‑CM/PCS, CPT, HCPCS, and payer guidelines.
  • Excellent communication skills for provider education and cross‑functional collaboration.
  • Ability to analyze data, generate reports, and drive process improvements.
  • Experience conducting internal audits and managing external audit responses.
  • Commitment to maintaining high accuracy and compliance standards.
Required Skills
  • 3M/Solventum
  • Audits
  • Denials
  • Epic
  • Microsoft Office
  • Professional Fee
About Us

Founded in 2003, Omega Healthcare Management Services® (Omega Healthcare) empowers healthcare to thrive via intelligent solutions that optimize revenue cycle operations, administrative workflows, care coordination, and clinical research on a global scale. The company works with providers, payers, life science companies, medical device manufacturers, health technology firms, researchers, and industry partners to amplify teams with robust technology, specialty expertise, and operational support. Omega Healthcare serves more than 350 healthcare organizations with 35,000 skilled workers in the United States, India, Colombia, and the Philippines. For more information, visit www.omegahms.com

We offer a comprehensive benefits package that may include health, dental, and vision coverage, voluntary insurance options, a 401(k) plan with employer match, professional development opportunities, paid time off, and holiday pay. Eligible employees may also have the opportunity to participate in bonus programs, commissions, or other variable incentive plans. Benefits and incentive eligibility may vary based on position, location, and tenure.

AAP/EEO Statement

Omega Healthcare is an Equal Employment Opportunity employer. All qualified applicants will receive consideration for employment without regard to their race, color, religion, national origin, gender, age, sexual orientation, gender identity or expression, marital status, mental or physical disability, protected veteran status, and genetic information, or any other basis protected by applicable law. Omega Healthcarealso prohibits harassment of applicants or employees based on any of these protected categories.

Omega Healthcare makes reasonable accommodations when needed for applicants and candidates with disabilities or religious observances. If reasonable accommodation is needed to participate in the job application, interview, or any other part of the hiring process, please contact Human Resources at employeerelationsus@omegahms.com .

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