Remote Manager - Professional Billing & Coding Operations

BMC Software; United States; Remote; USD 78,000 - 113,000; Full time

Job summary

Boston Medical Center seeks a Manager of Professional Billing Coding Operations to lead the PB Coding Operations team and ensure accurate coding across ICD-10-CM and CPT-4/HCPCS. You will mentor coders, monitor denials, and drive quality improvements.

The role requires at least five years in coding with management experience, CPC certification, and strong knowledge of HIPAA and payer guidelines. This remote position supports the BUMG Corporate PBO General department.

Qualifications

• Bachelor’s degree or equivalent combination of formal education and experience.
• CPC - Certified Professional Coder.
• Minimum of five years coding experience; five years management experience preferred.
• Experience with claim edits and denials.

Responsibilities

• Reviews patient records and abstracts data for diagnoses and procedures using ICD-10-CM, CPT-4/HCPCS.
• Manages day-to-day PB Coding Operations team activities and staffing.
• Ensures compliance with coding guidelines and payer requirements; mentors staff.

Skills

CPC knowledge

Mentoring

Coding accuracy

HIPAA compliance

Education

Bachelor's degree or equivalent

Tools

ICD-10-CM CPT-4/HCPCS

Microsoft applications

Job description

Boston Medical Center seeks a Manager of Professional Billing Coding Operations to lead the PB Coding Operations team and ensure accurate coding across ICD-10-CM and CPT-4/HCPCS. You will mentor coders, monitor denials, and drive quality improvements.

The role requires at least five years in coding with management experience, CPC certification, and strong knowledge of HIPAA and payer guidelines. This remote position supports the BUMG Corporate PBO General department.