Job Description

We are currently seeking a skilled and experienced individual to lead our Medical Coding team as a US Healthcare Medical Manager, Coding. This role requires a deep understanding of medical coding practices, regulations, and industry standards within the US healthcare system. The ideal candidate will possess strong leadership abilities, exceptional organizational skills, and a commitment to maintaining high standards of accuracy and compliance.

Job Overview

Team Leadership:

Provide leadership and guidance to the medical coding team, including assigning tasks, setting goals, and conducting performance evaluations. Foster a positive work environment that encourages collaboration, innovation, and professional growth.

Coding Operations:

Oversee all aspects of the medical coding process, ensuring accuracy, completeness, and compliance with relevant coding guidelines and regulations (e.g., CPT, ICD-10, HCPCS). Implement best practices to optimize coding efficiency and productivity.

Compliance:

Stay informed about changes and updates in coding regulations, reimbursement policies, and healthcare compliance requirements. Ensure that coding practices align with applicable laws, regulations, and industry standards, including HIPAA and other privacy regulations.

Training and Development:

Provide ongoing training and education to coding staff to keep them updated on changes in coding guidelines, regulations, and best practices. Mentor team members and support their professional development goals.

Collaboration:

Work closely with other departments, such as revenue cycle management, clinical documentation improvement, and compliance, to ensure seamless integration of coding processes with overall revenue cycle operations. Collaborate with internal and external stakeholders to address coding-related issues and optimize revenue capture.

Performance Analysis:

Monitor coding metrics and key performance indicators to track team performance and identify opportunities for process improvement. Develop reports and presentations to communicate coding trends, challenges, and achievements to senior management.

Roles & Responsibilities

Education and Experience Requirements

Bachelors degree in any related field. Masters degree preferred.

Certified Coding Specialist (CCS) or Certified Professional Coder (CPC) certification required.

Minimum of 8 years of experience in medical coding, with at least 3 years in a supervisory or managerial role.

Knowledge, Skills, and Abilities

In-depth knowledge of CPT, ICD-10, HCPCS coding systems, as well as coding guidelines and regulations in the US healthcare industry.

Strong leadership skills, with the ability to motivate and inspire team members to achieve high performance standards.

Excellent communication and interpersonal skills, with the ability to collaborate effectively with diverse stakeholders.

Proficiency in coding software and electronic health record (EHR) systems.

Demonstrated experience in developing and implementing coding policies, procedures, and quality assurance programs.

Experience with revenue cycle management processes and healthcare reimbursement methodologies.

Familiarity with coding-related software tools and technology, such as encoders, grouper software, and computer-assisted coding (CAC) systems.

Knowledge of healthcare compliance regulations, including HIPAA, HITECH, and Medicare billing rules.