Professional Coding Manager

Chesapeake Regional Healthcare; Chesapeake (VA); In loco; USD 120.000 - 180.000; Tempo pieno

Descrizione del lavoro

Chesapeake Regional Healthcare is seeking a senior Coding Manager to oversee a multi-specialty coding team. You will supervise coding staff, ensure accurate ICD-10, CPT, and HCPCS coding, and collaborate with providers and billers to support compliant documentation and billing.

The role requires a Bachelor's in Health Information Management (or equivalent), five years coding experience (two in management), and three years with Epic or Athena. CCS/CPC certification is required.

Competenze

• Five years of professional coding experience required, with governance over ICD-10, CPT, and HCPCS.
• Two years of management experience required to supervise coding staff.
• Three years of Epic and/or Athena experience required.
• CCS or CPC certification is required.

Mansioni

• Provide leadership and supervision to a multi-specialty coding team to ensure accurate coding.
• Collaborate with providers, coders, and billers to support compliant documentation and billing.
• Design and deliver training for providers and coding staff on documentation improvement and regulatory changes.
• Monitor productivity, accuracy, and quality metrics; implement performance improvement plans.
• Maintain up-to-date knowledge of federal, state, and payer coding regulations and update workflows.
• Lead process improvements to optimize reimbursement and compliance across Revenue Cycle units.
• Track coder productivity and report key performance indicators to leadership.

Conoscenze

Leadership

Team supervision

Analytics

Process improvement

Formazione

Bachelor's degree in Health Information Management

Five years coding experience in lieu of degree

Master's Degree in Health Information Management

Strumenti

Epic

Athena

Descrizione del lavoro

Summary

Provides operational oversight for professional coding functions.

Essential Duties

• Provide leadership and supervision to multi-specialty coding team, ensuring accurate and timely coding of encounters by ICD-10, CPT, and HCPCS standards and CMS, HRSA, and payer-specific guidelines.
• Ensure effective collaboration between providers, coders, and billers to support compliant documentation and optimal coding outcomes.
• Collaborate with clinical providers to enhance documentation quality and accuracy, supporting compliant billing, appropriate risk stratification, and accurate Uniform Data System (UDS) reporting.
• Conduct routine internal coding audits and chart reviews to monitor accuracy, identify trends, and implement corrective actions supporting compliance and data integrity.
• Maintain current knowledge of federal, state, and payer coding regulations and update internal protocols and workflows to ensure compliance and operational consistency.
• Design and deliver ongoing training for providers and coding staff on documentation improvement, regulatory changes, and best practices for accurate and compliant coding.
• Monitor coding productivity, accuracy, and quality metrics; develop and implement performance improvement plans to meet departmental and organizational benchmarks.
• Assist in the development and implementation of policies, procedures, and system enhancements to ensure optimal reimbursement with regulatory requirements across Revenue Cycle units.
• Partner in developing strategy to address high-risk coding practices, recommendations for corrective action plans or process improvements and creates policies, procedures, and internal controls which reinforce the highest level of standard coding quality goals and outcomes.
• Identify and address change management issues related to the evolution of the Revenue Cycle environment.
• Provide leadership for process improvement and redesign to improve customer satisfaction, reduce costs, and/or meet departmental and institutional goals and objectives.
• Track and report coder productivity, collecting relevant data.
• Monitor key performance indicators/metrics and enact action plans to encourage exceptional results.

Supervisory Responsibilities

Supervises: Coding Specialist, Sr. Coding Specialist

Qualifications

To perform this job successfully, an individual must be able to perform each essential function satisfactorily. The qualifications listed below are representative of the knowledge, skills, and/or abilities required for this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.

Required Education

Verifiable completion of the following degree in a major relevant to the role is required:

Bachelor's degree in Health Information Management or related field.

Five (5) years of coding experience will be considered in lieu of degree.

Preferred Education

• Master's Degree in Health Information Management or related field.

Required Experience

• Five (5) years of experience in professional coding.
• Two (2) years of management experience required.
• Three (3) years of Epic and/or Athena experience required.

Licenses, Certifications and/or Registrations

Certified Coding Specialist (CCS) or Certified Professional Coder (CPC) certification.