Senior Manager (Medical Coding)

Experience: 12+ years in medical coding, with at least 3-4 years in a leadership role

Specialties Preferred: [E/M IP, OP, with Cardio and Ortho Surgery Experience]

Job Summary:

We are seeking a highly experienced and detail-oriented Medical Coding Manager to lead our

coding operations team. The ideal candidate will be responsible for overseeing coding accuracy, compliance, team performance, and client satisfaction. This role requires strong leadership, analytical thinking, and a deep understanding of coding standards and healthcare regulations.

Key Responsibilities:

Operational Leadership:

Manage day-to-day coding operations across multiple specialties.

Ensure timely and accurate coding in compliance with ICD-10, CPT, HCPCS, and payer-specific guidelines.

Monitor productivity and turnaround time (TAT) to meet SLAs.

Quality & Compliance:

Oversee internal audits and implement corrective actions based on findings.

Ensure adherence to HIPAA, CMS, LCD/NCD, and other regulatory standards.

Collaborate with QA teams to maintain coding accuracy benchmarks.

Team Management:

Lead, mentor, and manage a team of coders, team leads, and QA specialists.

Conduct performance reviews, set SMART goals, and manage PIPs as needed.

Facilitate ongoing training and upskilling programs.

Client & Stakeholder Engagement:

Act as the primary point of contact for client escalations and updates.

Participate in client calls to discuss quality trends and process improvements.

Coordinate with billing, documentation, and provider education teams.

Reporting & Analytics:

Generate reports on coding accuracy, denial trends, and team performance.

Use data insights to drive strategic decisions and resource planning.

Process Improvement:

Identify workflow inefficiencies and implement process enhancements.

Standardize SOPs and coding protocols across teams.

Qualifications:

Certified Professional Coder CPC mandatory

Bachelor's degree in healthcare, life sciences, or related field

Minimum 12+ years of coding experience with 3-4 years in a managerial role

Strong knowledge of ICD-10, CPT, HCPCS, and payer-specific rules

Excellent leadership, communication, and analytical skills