Lead Professional Coding & Revenue Integrity Manager

Kootenai Health; Coeur d'Alene (ID); On-site; USD 90,000 - 120,000; Full time

Benefits offered by this job

Medical, dental, and vision insurance

Tuition assistance

Retirement plan with company match

Shift differentials for night/weekend

Job summary

Kootenai Health in Idaho seeks a Manager of Professional Coding to lead daily professional billing coding operations, ensure accurate documentation, and partner with clinic leaders to optimize reimbursement. You will oversee coding quality reviews, audits, and corrective actions while driving staff development and performance metrics.

The role emphasizes collaboration with Revenue Integrity, Compliance, and providers to maintain compliance with CMS and payer requirements and to improve

Qualifications

• Bachelor’s degree in health information management, healthcare administration, business administration, or related field.
• Master’s degree preferred.
• Minimum 3 years’ coding leadership or supervisory experience.
• Minimum 5 years’ professional coding experience.
• CPC, CPMA, CCS-P, or equivalent coding certification required.
• Strong knowledge of CPT, HCPCS, ICD-10-CM coding and provider documentation requirements.
• Experience with Epic or similar electronic health record system preferred.

Responsibilities

• Manages daily operations of professional coding teams across all employed physician practices and provider-based clinics
• Ensures coding activities are completed within established productivity and turnaround time standards
• Oversees work queues, coding edits, and charge-related issues to minimize claim delays and denials
• Monitors coding and charge capture performance and implements corrective action plans when necessary
• Maintains staffing plans and schedules to support operational needs
• Maintains compliance with CMS, OIG, commercial payer, and organizational coding requirements
• Coordinates corrective action plans and education based on audit findings
• Supports responses to payer audits and coding reviews
• Oversees charge capture processes for oncology infusion, injection, and related drug administration services to ensure accurate and timely billing

Skills

Leadership

Communication

Change management

Analytics

Education

Bachelor’s degree in health information management, healthcare administration, business administration, or related field

Master’s degree preferred

Tools

Epic

Job description

Kootenai Health in Idaho seeks a Manager of Professional Coding to lead daily professional billing coding operations, ensure accurate documentation, and partner with clinic leaders to optimize reimbursement. You will oversee coding quality reviews, audits, and corrective actions while driving staff development and performance metrics.

The role emphasizes collaboration with Revenue Integrity, Compliance, and providers to maintain compliance with CMS and payer requirements and to improve