Manager, Coding & Revenue (2026-0878)

Valley Medical Center & Clinics; Renton (WA); On-site; USD 104,000 - 157,000; Full time

Job summary

Valley Medical Center & Clinics in Renton, WA seeks a Manager, Coding & Revenue to lead professional coding, auditing, education, and provider enrollment. You will ensure accurate charge capture, maintain revenue integrity, and guide the team through governance and process improvements.

This role requires CPC or CCS-P, CPMA preferred, 5 years of physician auditing, and 4+ years supervising in a multispecialty setting.

Qualifications

• Bachelor's degree or 4+ years of equivalent work experience required.
• AAPC CPC or AHIMA CCS-P certification required; CPMA preferred.
• Minimum 5 years of physician auditing and education experience.
• Minimum 4 years of supervisory/management experience in a multispecialty group.
• Proficiency with MS Office applications (Excel, Word, PowerPoint, Outlook, Visio).

Responsibilities

• Provide leadership and oversight of professional coding, charge capture, provider enrollment, and auditing functions to ensure accurate, compliant revenue capture.
• Analyze monthly performance data and prepare reports for department leadership.
• Oversee physician enrollment to ensure appropriate reimbursement and payer denials management.
• Collaborate with IT to resolve system issues and maximize EHR capabilities.
• Lead staff development, coaching, and performance management across multiple areas.

Skills

CPC

CCS-P

CPMA

Leadership

Training development

MS Office

Education

Bachelor's degree or equivalent

Tools

Excel

Visio

Outlook

PowerPoint

Word

Job description

Job Title: Manager, Coding & Revenue

Req: 2026-0878

Location: VMC Main Campus

Department: Health Information Mgmt

Shift: Days

Type: Full Time

FTE: 1

Hours: 8:00-4:30

City State: Renton, WA

Category Management

Salary Range: Min $104,383 - Max $156,575/annual DOE

Job Description

JOB DESCRIPTION

The position description is a guide to the critical duties and essential functions of the job, not an all-inclusive list of responsibilities, qualifications, physical demands and work environment conditions. Position descriptions are reviewed and revised to meet the changing needs of the organization.

TITLE: Manager, Coding & Revenue

JOB OVERVIEW: The Manager, Coding & Revenue provides strategic leadership and oversight for the professional coding, physician auditing & education, coding and charge capture, and provider enrollment functions. The role is responsible for ensuring accurate and compliant professional charge capture and coding, while directing reconciliation and quality assurance processes to strengthen revenue integrity and support appropriate reimbursement.

DEPARTMENT: Patient Finanical Services

WORK HOURS: Monday - Friday, typically 8:00 AM - 4:30 PM. Flexibility may be required to meet department and organization needs.

RESPORTS TO: Director, Health Information Management and Revenue Integrity

Prerequisites

Bachelor's degree in a related field or 4 or more years of equivalent work experience and education, required.

Certified Professional Coder (CPC) through AAPC or Certified Coding Specialist-Physician based (CCS-P) through AHIMA required;Certified Professional Medical Auditor (CPMA) preferred.

Minimum five (5) years of experience in physician auditing and education, including at least three (3) years of developing and delivering training materials to staff and provider groups.

Minimum four (4) years of progressively responsible supervisory experience or management experience in a multispecialty group required. Experience managing in a union environment and hybrid (remote/on-site) teams preferred.

Proficient in various computer applications, including Microsoft Office, Excel, Word, PowerPoint, Visio, and Outlook

Qualifications

Knowledge of Revenue Integrity principles, including coding accuracy, clinical documentation integrity, charge capture, price transparency, and payer/provider audits.

Knowledge of Federal, State, and commercial payer requirements, including CPT/HCPCS and ICD-10-CM coding for professional services, along with comprehensive understanding of applicable healthcare regulations such as HIPAA, billing requirements, and regulatory compliance related to professional coding and documentation.

Demonstrates excellent oral and written communication skills, with the ability to build and maintain collaborative working relationships and exhibit strong teamwork as both an effective leader and a collaborative team member across all levels of leadership, providers, and staff

Proficient in interpreting physician documentation to identify and extract billable services in accordance with coding guidelines.

Proven ability to evaluate processes, identify and recommend improvements, and developand implement operational policies and procedures.

Demonstrates the ability to apply root-cause analysis to identify process improvement opportunities and implement effective changes.

Experience managing revenue capture in complex billing environment

Experience in development and management of compliance/audit programs.

Strong leadership skills with experience leading, mentoring, and managing staff across multiple areas of responsibility.

Demonstrates a commitment to excellent customer service, skilled in conflict resolution, exercising sound judgement, and maintaining professionalism under pressure.

Skilled at managing priorities, organizing work efficiently, producing accurate results, following through on tasks, and meeting deadlines.

Unique Physical/Mental Demands, Environment And Working Conditions

Must possess ability to work independently, with minimal direction, and take initiative in problem solving.

Must be able to interact professionally and effectively with a wide variety of people, including operations staff, providers, the general public, and departments at Valley Medical Center (VMC).

Attention To Detail And Excellent Organizational Skills Are Essential

Must be able to function effectively in an environment with frequent interruptions and multiple tasks.

Must be able to effectively interact with patient access and billing systems and other relevant third-party software, create and maintain spreadsheets, and take and compose meeting minutes.

Requires manual and finger dexterity and vision corrected to normal range.

Requires prolonged periods of sitting and prolonged exposure to computer monitor and keyboarding.

Performance Responsibilities

• Generic Job Functions: See Generic Job Description for Administrative Partner
• Unique Job Functions.

Provide leadership and oversight of professional coding, charge capture, provider enrollment, and auditing functions to ensure accurate, compliant revenue capture and revenue integrity.

Evaluate financial and operational performance of providers & clinical departments, and perform analysis to identify trends, address, and/or communicate revenue variations to the appropriate departments or areas. Analyze monthly performance data and prepare reports as needed for department leadership.

Review productivity and quality dashboards to ensure accuracy and performance of Revenue Inegrity staff. Continue to enhance metrics to better identify potential revenue losses and address concern proactively.

Oversee physician enrollment for VMC employed providers to ensure appropriate reimbursement and payer denials.

Maintain current knowledge of insurance plan updates to ensure billing requirements are met and compliant with Medicare, Medicaid, and other payers.

Manage and maintain all documentation and coding education for new and established employed providers.

Manage and provide guidance to the Risk Adjustment program team to ensure compliant documentation and coding practices that accurately capture member data for chronic conditions and care gaps.

Collaborate with Billing, Insurance Follow-Up, Denials, Clinical Departments, and Physicians/Providers to manage production activities and resolve outstanding issues.

Monitor Account Receivables daily, focusing on work queue analyses and denial reporting mechanisms to ensure timely resolution and continuous staff competency.

Oversee professional charge reconciliation to reduce missed revenue and collaborate with vendors to address identified systematic issues.

Function as the primary coding liaison for physicians and providers, offering timely guidance and support on coding and charge capture questions or concerns.

Partner with clinic network, Finance, and VMC leaders to ensure billable services affecting provider productivity are performed and appropriately charged. Track missing encounters and coordinate resolutions with Clinic Leadership.

Collaborate with IT to resolve system issues, implement upgrades and maximize EHR capabilities.

Collaborate closely with the CDM & Charge Capture Manager to resolve payment and charge master issues.

Partner with PFS leadership to ensure ancillary departments receive accurate and timely information on charges, billing, and denials, collaborating with department leaders to resolve issues and optimize revenue cycle processes.

Collaborate with HIM leadership concerning issues associated with charge capture and coding as it relates to revenue trends.

Establish and monitor performance standards to ensure staff meet organizational goals.

Provide leadership for staff through hiring, coaching, and performance management, leveraging feedback from the Director, peers, and relevant stakeholders to drive growth and performance. Deliver timely staff feedback, manage corrective actions, and implement performance improvement or termination when appropriate.

Identify staff training needs and provide continuing education opportunities for department staff and manage the development of job aids to ensure staff maintain up-to-date knowledge of physician documentation, coding standards, and reimbursement policies.

Lead and support new staff onboarding while monitoring performance to ensure targets are met within the probationary period.

Effectively work within established department budgeted targets and develop and manage staffing plans that facilitate efficient operations.

Review and approve timesheets and time of requests following the department's and Valley Medical Center's payroll and timekeeping processes.

Conduct frequent staff meetings and share relevant information with Revenue Cycle management to ensure consistent communication and responses. Lead and actively participate in department management meetings. Represent the department at appropriate internal, external, and workgroup meetings.

Maintain confidentiality of all protected health information.

Follow the Mission, Vision, and Values of Valley Medical Center. Performs all job functions in a manner consistent with Valley's cultural expectations defined as Valley Values. These characteristics include quality performance, demonstrating compassion, respect, teamwork, community-centered awareness, and innovation.

Complete additional projects and duties as assigned

Created: 3/2026

Grade: NC-12

FSLA: E

Cost Center: 8531

Qualifications

Job Qualifications

Knowledge of Revenue Integrity principles, including coding accuracy, clinical documentation integrity, charge capture, price transparency, and payer/provider audits.

Knowledge of Federal, State, and commercial payer requirements, including CPT/HCPCS and ICD-10-CM coding for professional services, along with comprehensive understanding of applicable healthcare regulations such as HIPAA, billing requirements, and regulatory compliance related to professional coding and documentation.

Demonstrates excellent oral and written communication skills, with the ability to build and maintain collaborative working relationships and exhibit strong teamwork as both an effective leader and a collaborative team member across all levels of leadership, providers, and staff

Proficient in interpreting physician documentation to identify and extract billable services in accordance with coding guidelines.

Proven ability to evaluate processes, identify and recommend improvements, and developand implement operational policies and procedures.

Demonstrates the ability to apply root-cause analysis to identify process improvement opportunities and implement effective changes.

Experience managing revenue capture in complex billing environment

Experience in development and management of compliance/audit programs.

Strong leadership skills with experience leading, mentoring, and managing staff across multiple areas of responsibility.

Demonstrates a commitment to excellent customer service, skilled in conflict resolution, exercising sound judgement, and maintaining professionalism under pressure.

Skilled at managing priorities, organizing work efficiently, producing accurate results, following through on tasks, and meeting deadlines.