Remote Coding Quality & Education Manager

Nimble; United States; A distancia; USD 120.000 - 160.000; Jornada completa

Descripción de la vacante

nimble solutions seeks a Coding Quality and Education Manager to lead CPT coding audits, quality analyses, and coder/provider education for outpatient and professional services. You will ensure accuracy, regulatory compliance, and alignment with payer and client requirements while collaborating with internal teams and clients.

This role is a hands-on, remote position focused on improving coding quality, developing targeted trainings, and delivering audit summaries that drive actionable

Formación

• 8–10+ years of outpatient or professional surgical coding experience.
• 5+ years of coding quality auditing and/or coding education experience.
• Advanced knowledge of CPT, ICD-10-CM, modifier usage, Medicare regulations, OPPS, and payer policies.
• Experience with surgical specialties such as orthopedics, spine, pain management, ophthalmology, and general surgery.
• Strong written and verbal communication skills, including client-facing education and presentation capabilities.
• Excellent analytical skills with the ability to interpret audit data and translate findings into actionable education.
• Highly organized with the ability to manage multiple priorities and meet deadlines in a fast-paced, remote environment.
• Proficiency in Microsoft Excel, Word, PowerPoint, and SharePoint

Responsabilidades

• Perform prospective and retrospective audits of outpatient and professional surgical coding, including CPT, ICD-10-CM, modifier assignment, and compliance with Official Coding Guidelines, NCCI/OCE edits, and payer policies.
• Support and maintain the coding quality assurance program, including audit methodologies, scoring, documentation standards, and quality tracking processes.
• Analyze audit results and quality trends to identify risk areas, educational needs, and opportunities for process improvement.
• Develop and deliver targeted coder- and provider-facing education, including remediation, training sessions, and client-specific education as needed.
• Prepare client-facing audit summaries and reports that communicate quality scores, trends, and recommended actions clearly and professionally.
• Collaborate with Coding Operations and cross-functional teams to support workflow optimization, standardization of best practices, and achievement of quality and service-level expectations.
• Provide expert-level support for complex coding questions across Ambulatory Surgery Centers and Professional Fee services.
• Participate in quality and compliance initiatives, including follow-up audits, monitoring of corrective actions, and validation of improvement outcomes.
• Contribute to special projects related to audits, quality improvement, workflow enhancements, client onboarding, and ongoing client support

Conocimientos

Coding quality auditing

Education for coders

CPT / ICD-10-CM knowledge

Surgical coding

Audits & compliance

Client-facing education

Herramientas

Microsoft Excel

Microsoft Word

PowerPoint

SharePoint

Descripción del empleo

nimble solutions seeks a Coding Quality and Education Manager to lead CPT coding audits, quality analyses, and coder/provider education for outpatient and professional services. You will ensure accuracy, regulatory compliance, and alignment with payer and client requirements while collaborating with internal teams and clients.

This role is a hands-on, remote position focused on improving coding quality, developing targeted trainings, and delivering audit summaries that drive actionable