Manager-Physician Coding

ScionHealth; Brentwood, Northern (TN, KY); Hybrid; USD 90,000 - 130,000; Full time

Job summary

ScionHealth seeks a Manager of Coding to oversee day-to-day professional coding services and ensure accurate data for reimbursement while leading a team toward high quality and compliance.

You will monitor performance, audit charts, coach coders, and collaborate with revenue cycle and leaders to support coding accuracy and standardization across departments.

Qualifications

• Knowledge of coding principles and industry best practices.
• Experience with professional services reimbursement methodologies.
• Regulatory knowledge related to documentation, coding, and billing.
• Leadership and team management experience.
• Strong written and verbal communication skills.

Responsibilities

• Monitors coding operations to ensure productivity, accuracy, compliance, and timely completion of work.
• Identifies, analyzes, and resolves coding-related issues affecting reimbursement, compliance, or workflow efficiency.
• Audit completed charts and provide coaching, guidance, feedback, and development opportunities to coder.
• Provide education based on audit results.
• Assist team with daily coding functions to ensure team stays current with the workload.
• Reviews coding quality metrics and productivity data and develops action plans to address performance gaps.
• Collaborates with Accounts Receivable to work on claim denials and rejections related to coding and medical necessity and implement corrective actions and educational initiatives as needed.
• Collaborates with revenue cycle, compliance, clinical, and operational leaders to support coding accuracy and reimbursement objectives.
• Supports coding standardization efforts to promote consistency in education, workflows, regulatory updates, and compliance practices.
• Collaborates with Director of Coding, Audit and Education, to analyze coding performance and benchmark data to identify trends, opportunities for improvement, and potential revenue impact.
• Ensures coding staff remain current on coding guidelines, payer requirements, and regulatory changes.

Skills

Coding principles

Leadership

Communication

Analytical skills

Regulatory knowledge

Problem solving

Education

Bachelor’s Degree in Healthcare or related field

Job description

Description

At ScionHealth, we empower our caregivers to do what they do best. We value every voice by caring deeply for every patient and each other. We show courage by running toward the challenge and we lean into new ideas by embracing curiosity and question asking. Together, we create our culture by living our values in our day-to-day interactions with our patients and teammates.

Job Summary

• The Manager of Coding oversees the day-to-day operations of professional coding services to support organizational goals and ensure accurate coded data for appropriate reimbursement. The Manager is responsible for coding quality, productivity, compliance monitoring, staff development, and implementation of coding policies and procedures.

Essential Functions

• Monitors coding operations to ensure productivity, accuracy, compliance, and timely completion of work.


• Identifies, analyzes, and resolves coding-related issues affecting reimbursement, compliance, or workflow efficiency.


• Audit completed charts and provide coaching, guidance, feedback, and development opportunities to coder.


• Provide education based on audit results.


• Assist team with daily coding functions to ensure team stays current with the workload.


• Reviews coding quality metrics and productivity data and develops action plans in collaboration with Director of Coding, Audit and Education, to address performance gaps.


• Collaborate with the Accounts Receivable teams to work on claim denials and rejections related to coding and medical necessity and implement corrective actions and educational initiatives as needed.


• Collaborates with revenue cycle, compliance, clinical, and operational leaders to support coding accuracy and reimbursement objectives.


• Supports coding standardization efforts to promote consistency in education, workflows, regulatory updates, and compliance practices.


• Collaborates with Director of Coding, Audit and Education, to analyze coding performance and benchmark data to identify trends, opportunities for improvement, and potential revenue impact.


• Ensures coding staff remain current on coding guidelines, payer requirements, and regulatory changes.

Knowledge/Skills/Abilities/Expectations

• Strong knowledge of coding principles, guidelines, and industry best practices.


• Strong knowledge of professional services reimbursement methodologies.


• Knowledge of federal, state, and payer-specific regulations related to documentation, coding, and billing.


• Effective leadership, coaching, and team management skills.


• Strong written and verbal communication skills.


• Strong analytical, problem-solving, and organizational skills.


• Ability to build effective working relationships across departments.


• Ability to travel to market locations if needed.

Qualifications

Education

• Bachelor’s Degree in Healthcare or related field (Preferred)

Licenses/Certifications

• Other: CPC certification Upon Hire (Required)


• Other: CPMA Upon Hire (Preferred)

Experience

• 5+ years Professional coding experience (Required)


• Prior Experience in leadership or a supervisory coding role (Preferred)


• Prior Experience supporting multi-specialty physician practices or medical groups (Preferred)


• Prior Experience working with operational leaders and providers to improve coding quality and performance (Preferred)