Medical Coding Manager

Oversee day-to-day coding operations to ensure timely completion of encounters and consistent application of coding standards

Develop and maintain workflows that improve productivity, turnaround time, and coding accuracy across specialties

Ensure appropriate work distribution based on complexity, volume, and team capacity

Maintain departmental policies and procedures consistent with official coding guidelines and payer requirements

Compliance & Audit Oversight

Oversee internal and external coding audits, ensuring timely response, documentation support, and completion of corrective actions

Monitor adherence to federal, state, and payer-specific coding rules, including documentation requirements

Identify risk areas and implement corrective and preventive action plans to reduce compliance exposure

Maintain audit-ready processes and participate in compliance initiatives, education, and reporting

Revenue Cycle & KPI Management

Monitor team KPIs, including coding quality scores, productivity, and turnaround times

Partner with billing and revenue cycle leadership to support clean claim submission and reduce coding-related denials

Identify trends impacting reimbursement (e.g., documentation gaps, modifier usage, payer edits) and implement targeted improvements

Cross-Functional Collaboration

Partner with providers, clinical leadership, and compliance to promote complete and accurate documentation

Serve as a resource for coding guidance, escalation support, and interpretation of coding rules

Collaborate with billing, AR, and payer relations teams on payer-specific coding strategies and issue resolution

Support contract review, LOA alignment, and operational readiness for new payers, services, or documentation requirements