Assistant Manager (Billing & Coding Department)

Position Title:

Department:

Reports To:

Location:

Employment Type:

Position Overview

The Assistant Manager Billing & Coding is responsible for supporting the overall management of the billing and coding operations within the Revenue Cycle Management (RCM) department. This role ensures timely and accurate claim submissions, coding compliance, denial management, and team performance. The Assistant Manager will serve as a bridge between the billing/coding staff and senior management, focusing on operational efficiency, client satisfaction, and compliance with healthcare regulations.

Key Responsibilities

Operational Management

• Supervise daily billing and coding operations to ensure accuracy, timeliness, and compliance with payer regulations.
• Monitor claim submission, rejections, denials, and coding accuracy to minimize AR days and maximize collections.
• Oversee coding audits and ensure adherence to ICD-10, CPT, and HCPCS guidelines.
• Assist with workload allocation, performance tracking, and productivity metrics of the team.

Team Leadership

• Provide day-to-day guidance, mentorship, and training to billing and coding staff.
• Conduct performance reviews, provide constructive feedback, and support staff development.
• Foster a culture of accountability, teamwork, and continuous improvement.

Compliance & Quality Assurance

• Ensure compliance with HIPAA, payer-specific policies, and federal/state billing regulations.
• Implement quality assurance checks for coding accuracy and billing processes.
• Work with compliance teams on audits, documentation reviews, and corrective action plans.

Client & Stakeholder Management

• Collaborate with clients, providers, and internal teams to resolve escalated issues.
• Prepare and present reports on billing/coding performance, denial trends, and revenue impacts.
• Support client onboarding, training, and process transitions as needed.

Process Improvement

• Identify workflow gaps and recommend process enhancements to improve efficiency and accuracy.
• Implement automation tools or best practices to optimize revenue cycle outcomes.
• Monitor key performance indicators (KPIs) such as clean claim rate, denial rate, AR days, and collection rate.

Qualifications & Skills

Experience:

• 5+ years of experience in medical billing and coding, with at least 2 years in a supervisory or lead role.
• Strong knowledge of ICD-10, CPT, HCPCS, modifiers, payer rules, and medical terminology.
• Experience working with practice management systems, EMRs/EHRs, and billing software.
• Proven track record in AR management, denial resolution, and process optimization.

Skills:

• Strong leadership, organizational, and people management skills.
• An analytical mindset with the ability to interpret financial and operational data.
• Excellent verbal and written communication skills.
• Ability to multitask, prioritize, and work in a fast-paced environment.
• Proficiency in MS Office Suite (Excel, Word, PowerPoint).

Key Performance Indicators (KPIs):

• Reduction in claim denials and rejections.
• Improved coding accuracy rate (>95%).
• Decrease in AR days and increase in collections.
• Team productivity and adherence to SLAs.
• Client satisfaction scores and issue resolution time.