Manager Quality - Medical Coding

Role & responsibilities

Customer Obsession

Embracing New Ideas -

Striving for Excellence -

Difference Principles and consistently delivering outstanding results.

They will assist in monthly reporting, track and trending and auditor/appeal staff QA

Interviews and recruits staff. Provides orientation for new employees, prepares staffing schedules and completes timely mid-year and performance reviews.

Collaborates with the Coding Education and Quality Coordinator to assure on-the-job training is carried out for all job duties of staff directly under his/her supervision.

Monitors the progress of new employees, ensuring competency has been met.  Provides timely, clear, constructive feedback.

Responsible for coordinating and managing all activities relative to coding and abstracting of records while ensuring compliance with all regulatory rules and the American Hospital Association (AHA) Official Coding Guidelines. 

Maintains knowledge of industry, federal, state, and system requirements and communicates and incorporates such into the day-to-day activities

Monitors productivity in order to ensure that work performance meets the standards of the job and assists with resolution of day-to-day problems that may have a negative impact on staff.

Fosters an environment of professional growth and development by being a "continual learner" and encourages on-going development of others.

Rewards and coaches employees, and when necessary, administers disciplinary action for infractions of Policies.

Conducts regular update meetings for staff to ensure that all employees receive appropriate communication regarding departmental, hospital, market, and company changes/events.

Establishes and maintains effective, collaborative working relationships with members of the Medical Staff, Executive Team, Revenue Cycle Leadership, other ancillary departments and peers.

Provides a harmonious working relationship, promoting empowerment, that also inspires, motivates and models supportive behaviors, that result in higher level of productivity and an atmosphere of teamwork.

Assists in the development of Revenue Cycle goals, objectives, and policies/procedures, and participates in various committees on an as needed basis as the subject matter expert for coding related issues.

This document is not an exhaustive list of all responsibilities, skills, duties, requirements, or working

conditions associated with the job. Associates may be required to perform other job-related duties as

required by their supervisor, subject to reasonable accommodation.

Preferred candidate profile

Graduate degree in Education, Business, or related field (Masters or professional certifications like CPC, CCS, Six Sigma blackbelt is preferred).

10+ years of overall Quality Management or Process improvement experience with 5+ years of experience within the RCM domain.

Strong understanding of end-to-end RCM processes including charge entry, payment posting, denial management, and AR follow-up.

Knowledge of HIPAA and healthcare compliance standards.

Proficiency in using billing software (e.g., Epic, Athena, Kareo) and QA tools.

Excellent communication skills for feedback and reporting.

Attention to detail with strong analytical and problem-solving skills.

Ability to manage multiple projects and meet deadlines.

Proven ability to drive cross-functional collaboration for process improvements.