Manager, Coding Operations

Team Member Services; Orlando (FL); On-site; USD 90,000 - 120,000; Full time

Benefits offered by this job

Benefits from Day One

4 Weeks Paid Parental Leave

Career Development

Mental Health Resources

Job summary

AdventHealth in Altamonte Springs, FL is seeking a Manager, Coding Operations to lead inpatient and outpatient coding across service lines. You will ensure accurate DRG/APC assignments and drive throughput, timeliness, and workflow efficiency while guiding coding teams.

You will partner with CDI, Revenue Integrity, and Education to improve documentation and reduce risk, with a focus on enterprise performance and compliance.

Qualifications

• Advanced knowledge of ICD-10-CM/PCS and CPT/HCPCS coding methodologies.
• Understanding of DRG/IPPS and OPPS/APC reimbursement guidelines.
• Ability to manage high-volume inpatient and outpatient coding workflows.
• Knowledge of clinical documentation and acuity representation.
• Ability to analyze performance metrics and trends.

Responsibilities

• Lead inpatient and outpatient coding operations across service lines.
• Ensure timely coding performance and accurate DRG/APC assignment.
• Monitor productivity, throughput, and turnaround times; address variances.
• Enforce workflow management, prioritization, and escalation protocols.
• Collaborate with CDI, Revenue Integrity, and Education teams on improvements.
• Ensure compliance with coding standards and regulatory guidance.
• Provide reporting on coding performance and operational risks.

Skills

ICD-10-CM/PCS/CPT

DRG/IPPS/OPPS knowledge

High-volume coding management

Clinical documentation

Performance analytics

Leadership

Cross-functional collaboration

Continuous improvement

Education

Bachelor's degree

Master's degree

Job description

Our promise to you:

Joining AdventHealth is about being part of something bigger. It's about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that together we are even better.

All the benefits and perks you need for you and your family:

• Benefits from Day One: Medical, Dental, Vision Insurance, Life Insurance, Disability Insurance
• Paid Time Off from Day One
• 403-B Retirement Plan
• 4 Weeks 100% Paid Parental Leave
• Career Development
• Whole Person Well-being Resources
• Mental Health Resources and Support
• Pet Benefits

Schedule:

• Full time
• Shift: Day (United States of America)
• Address: 900 HOPE WAY
• City: ALTAMONTE SPRINGS
• State: Florida
• Postal Code: 32714

Job Description:

The Manager, Coding Operations, leads inpatient and/or outpatient coding operations across assigned service lines, ensuring accurate and timely coding performance that supports appropriate representation of patient acuity and services provided. This role drives enterprise performance across throughput, timeliness, workflow management, productivity, and turnaround time while overseeing coding teams responsible for diagnosis-driven, procedural, interventional charge validation, Emergency Department, ancillary, and observation coding workflows. The Manager partners with CDI, Revenue Integrity, Technology, and Education teams to support coding accuracy, operational efficiency, and sustained performance within the enterprise coding model.

• Leads inpatient and outpatient coding operations across assigned service lines, ensuring alignment with enterprise throughput, timeliness, and workflow management expectations
• Drives timely coding performance to support DNFB reduction, revenue cycle performance, and efficient claim submission
• Monitors productivity, throughput, and turnaround time, addressing performance variability, coding complexity, and workflow challenges across coding teams.
• Establishes and enforces workflow management practices, including prioritization, queue management, and escalation protocols
• Ensures accurate application of ICD-10-CM/PCS and/or CPT/HCPCS coding guidelines, modifier usage, DRG and/or APC assignment, and OPPS/IPPS reimbursement methodologies and regulatory guidance.
• Identify workflow inefficiencies impacting coding accuracy, procedural capture, coding velocity, and operational consistency, implementing process improvements to enhance performance
• Supports backlog management and surge response strategies to maintain operational stability during fluctuations in coding volume and complexity
• Partners with CDI to ensure accurate documentation and appropriate representation of surgical procedures and patient acuity
• Collaborate with Coding Integrity and Education teams to integrate audit findings, regulatory guidance, and targeted education into operational improvements and staff performance management
• Partners with Revenue Integrity to identify charge capture gaps, improve procedural coding accuracy, and reduce reimbursement risk and revenue leakage
• Works with Technology and Workforce Optimization teams to align workflows, queue design, staffing models and system functionality with operational demand
• Ensures compliance with coding standards, regulatory guidelines, and organizational policies across inpatient and/or outpatient coding operations.
• Provides reporting and insights on coding performance, workflow trends, operational risks, and coding outcomes to leadership
• Leads and develops coding staff and supervisors, ensuring accountability, technical expertise, coding consistency, and alignment with enterprise performance expectations.

Knowledge, Skills, and Abilities:

• Advanced knowledge of ICD-10-CM/PCS and/or CPT/HCPCS coding methodologies and modifier usage [Required]
• Strong understanding of DRG/IPPS and/or OPPS/APC reimbursement methodologies and coding guidelines [Required]
• Ability to manage high-volume and/or high-complexity coding workflows across inpatient and/or outpatient environments [Required]
• Knowledge of clinical documentation, acuity representation, procedural coding, and CDI/Revenue Integrity alignment [Required]
• Ability to analyze coding performance metrics, operational trends, and workflow efficiency [Required]
• Strong leadership, coaching, and team development skills [Required]
• Cross-functional collaboration with CDI, Revenue Integrity, Coding Integrity, Audit, Compliance and Solutions teams [Required]
• Ability to drive standardization, operational efficiency, and continuous performance improvement [Required]

Education:

• Bachelor's [Required]
• Masters [Preferred]

Field of Study:

in healthcare related field

Work Experience:

• 6+ years of acute care hospital coding [Required]
• 3+ years s