The Role

We are seeking experienced and dynamic individuals to lead and oversee our medical coding operations. The ideal candidate will ensure the accuracy, efficiency, and compliance of coding practices, while also managing a team of certified medical coders. This role requires strong leadership skills, in-depth knowledge of medical coding systems (CPT, ICD-10, and HCPCS), and a commitment to maintaining the highest standards of quality and compliance.

Responsibilities

• Oversee and manage a team of medical coders, including recruitment, training, performance evaluation, and professional development.
• Establish goals, objectives, and performance metrics for the coding team to ensure productivity and quality standards are met.
• Foster a positive and collaborative work environment that promotes continuous learning and improvement.
• Ensure accurate and timely assignment of medical codes to diagnoses, procedures, and treatments based on clinical documentation.
• Monitor and maintain compliance with coding guidelines, payer policies, and regulatory requirements (e.g., HIPAA).
• Implement quality assurance processes, including periodic audits, to ensure coding accuracy and consistency.
• Stay updated on changes in medical coding regulations, billing requirements, and payer rules.
• Educate the team and other stakeholders on changes in coding guidelines and ensure adherence to industry best practices.
• Collaborate with the billing team to resolve coding-related issues and minimize claim denials.
• Generate and present regular reports on coding productivity, accuracy rates, and revenue cycle metrics to senior management.
• Analyze data to identify trends, areas for improvement, and opportunities to optimize coding processes.
• Partner with physicians, clinical staff, and other departments to ensure accurate and complete documentation that supports proper coding and billing.
• Serve as the main point of contact for external audits and coding-related inquiries.

Requirements

• Bachelor’s degree in Health Information Management, Healthcare Administration, or a related field (preferred).
• 5+ years of experience in medical coding, including 1-2 years in a leadership role.
• Certification as a Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or equivalent (required).
• Certified Professional Coder (CPC) qualification is mandatory.
• Strong knowledge of medical terminologies, ICD-10, CPT, and HCPCS coding systems.
• Experience with various Electronic Health Record (EHR) and coding software systems.
• Excellent communication and leadership skills.
• Proficiency in using medical coding and billing software, as well as data analysis tools.
• High attention to detail and commitment to accuracy.
• Ability to manage multiple priorities in a fast-paced environment.
• Familiarity with healthcare compliance regulations and RCM processes is required.
• Strong analytical skills and attention to detail for accurate coding and problem-solving.

Benefits

• We invest in our team members’ growth. Expect top-notch training that sets you up for success, if you can bring in the right attitude and enthusiasm.
• Work in a state-of-the-art office space designed for productivity and collaboration.
• Our team includes industry veterans, domain experts, engineers, data scientists, project management professionals and a wide variety of other professionals.
• As we continue to grow, we present endless opportunities for growth purely based on performance and values.