Remote Physician Coding Manager — Denials & Compliance Lead

Boston Children's Hospital; Westwood (MA); Remote; USD 95,000 - 135,000; Full time

Benefits offered by this job

Flexible schedules

Health insurance

Vision & dental insurance

Child care subsidies

Time off

403(b) plan

Job summary

Boston Children's Hospital is seeking a remote Senior Coding Supervisor to lead Physician Organization Shared Services' professional billing coding operations, ensuring accuracy and compliance.

The ideal candidate will hold CPC or CCS-P, have 5 years in coding leadership, strong Epic experience, and focus on denial management while coaching the team. This role partners with physicians and billing leadership to improve reimbursement and data integrity.

Qualifications

• CPC or CCS‑P certification required.
• Strong physician/professional coding and billing knowledge.
• Knowledge of ICD-10-CM, CPT-4, and HCPCS coding systems.
• Advanced knowledge of CCI, LCD, and CMS RVU/PRVU.
• 3 years of coding experience in DRG Validation and/or compliance review in a multi‑specialty setting.
• Strong analytical and problem‑solving skills.
• Ability to manage and lead employees effectively.
• Strong communication, negotiation, and conflict-resolution skills.
• Proficient with computerized billing systems.

Responsibilities

• Manage coding operations, work assignments, and workflows to ensure accurate and timely processing of charges, appeals, and reports.
• Lead and supervise assigned coding staff, including hiring, onboarding, training, performance management, and annual reviews.
• Ensure coding accuracy and compliance with ICD-10-CM, CPT, and HCPCS guidelines.
• Resolve missing or incomplete coding information, coding queries, and issues escalated by coding staff.
• Review coding and billing reports to identify performance issues, errors, and opportunities for improvement.
• Analyze billing system issues and work with leadership and vendors to resolve problems and maintain data integrity.
• Develop and implement coding policies, procedures, training, and workflow improvements.
• Monitor changes in coding, billing, and payer requirements and update processes accordingly.
• Support EPIC coding training and help ensure consistency and compliance across coding practices.
• Partner with physician leadership, department administrators, pricing/contracting, quality teams, and billing leadership on coding and billing initiatives.
• Review audit and chart-review findings and make recommendations to improve coding accuracy and reimbursement.
• Serve as a coding expert and resource for the Billing Management Team and physician organization.

Skills

Coding leadership

Denial management

Epic experience

Communication

Problem solving

Team leadership

Education

Associate's Degree in Medical Records

Tools

Epic

Job description

Boston Children's Hospital is seeking a remote Senior Coding Supervisor to lead Physician Organization Shared Services' professional billing coding operations, ensuring accuracy and compliance.

The ideal candidate will hold CPC or CCS-P, have 5 years in coding leadership, strong Epic experience, and focus on denial management while coaching the team. This role partners with physicians and billing leadership to improve reimbursement and data integrity.