Manager - Medical coding

This role is for one of the Weekday's clients

Manager - Medical Coding

medical coding practices, guidelines, and compliance regulations

operational leadership, quality control, and stakeholder management

Requirements

Key Responsibilities

• Leadership & Team Management:
• Lead, mentor, and manage a team of medical coding professionals, ensuring optimal performance and career development.
• Allocate work, monitor productivity, and provide regular feedback to drive accuracy and efficiency.
• Foster a culture of continuous learning and compliance within the team.
• Medical Coding Operations:
• Oversee end-to-end medical coding processes, ensuring coding accuracy, compliance, and timeliness.
• Apply ICD-10-CM, CPT, HCPCS, and other standard coding classifications across diverse specialties.
• Conduct coding audits and quality checks to minimize errors and maintain high standards.
• Collaborate with clinical documentation specialists and physicians to resolve coding discrepancies.
• Compliance & Quality Assurance:
• Ensure adherence to regulatory requirements, payer guidelines, and HIPAA standards.
• Stay updated with changes in coding guidelines, payer policies, and healthcare regulations.
• Develop and implement internal compliance protocols and training initiatives.
• Process Excellence:
• Drive automation, best practices, and process improvement strategies in coding operations.
• Monitor coding KPIs such as accuracy, turnaround time, productivity, and denial rates.
• Partner with cross-functional teams to resolve billing/coding-related queries and reduce claim rejections.
• Stakeholder Collaboration:
• Act as a liaison between coding teams, clinical staff, billing, and revenue cycle management.
• Provide insights and reports to senior leadership on coding accuracy, productivity, and compliance performance.

Required Skills & Qualifications

• Experience: 8-18 years of proven expertise in medical coding, with at least 3-5 years in a leadership or managerial role.
• Strong knowledge of ICD-10, CPT, HCPCS, DRG coding systems, and healthcare reimbursement methodologies.
• Hands-on experience in coding audits, compliance, and quality assurance.
• Excellent understanding of healthcare documentation, payer requirements, and revenue cycle processes.
• Certification(s) such as CPC, CCS, CCS-P, or equivalent strongly preferred.
• Strong leadership, communication, and analytical skills with the ability to manage large teams.
• Experience in handling multi-specialty coding (inpatient, outpatient, physician coding) is desirable