Sr. Manager / Manager Medical Billing & Coding

As a Medical Billing and Coding Manager, you will be responsible for leading, mentoring, and managing a team of medical billers and coders. Your role will involve setting performance targets, monitoring KPIs, and conducting regular performance evaluations to ensure the team's efficiency and productivity. You will provide guidance on complex billing scenarios, coding disputes, and claim escalations, ensuring compliance with regulatory requirements. Your expertise as a subject matter expert on the No Surprises Act (NSA) will be crucial in overseeing the consistent application of the act in claim handling. You will also be responsible for managing the Independent Dispute Resolution (IDR) submission process, including timelines, documentation, and negotiation strategy. Effective collaboration with stakeholders to manage and resolve NSA-related disputes will be a key aspect of your role. In addition to your leadership and team management responsibilities, you will be required to optimize billing workflows for efficiency, accuracy, and regulatory compliance. Implementation of quality assurance practices to minimize errors and denials will be essential in ensuring smooth billing processes. You will work closely with cross-functional teams such as provider relations, client service, and finance to resolve billing issues and support the organization's business goals. To qualify for this role, you should have a minimum of 10 years of experience in medical billing and coding, with at least 4 years in a managerial or supervisory role. A minimum of 1 year of experience in NSA and IDR processes is essential. Familiarity with healthcare billing systems such as Kareo, eClinicalWorks, and AdvancedMD is required. Strong leadership, analytical, and interpersonal skills, along with exceptional problem-solving and decision-making abilities in high-stakes situations, are qualities that will contribute to your success in this position.,