Coding Manager

Carolina Neurosurgy & Spine Associates•Charlotte, NC

About The Position

In conjunction with the Director of Revenue Cycle Management, the primary objective of this position is to maximize practice revenue by overseeing coding operations to ensure accuracy, compliance, and efficiency. This role leads and supports coding staff, monitors quality through audits, and ensures adherence to ICD-10, CPT, and HCPCS guidelines. Collaborate with revenue cycle and clinical teams to support accurate reimbursement, resolves coding issues, and implements process improvements. This is a high-impact role at the center of our organization - driving financial performance, operational excellence, and innovation in a complex, procedure-driven environment. You’ll partner closely with executive leadership and physicians to shape strategy, optimize outcomes, and support the continued growth of both CNSA and our MSO platform.

Requirements

5+ years of medical coding experience with direct surgical / procedural coding exposure
Mastery of CPT, ICD-10-CM, HCPCS, and official coding guidelines
Deep understanding of global surgical packages, NCCI edits, and modifier usage (e.g., 22, 24, 25, 57, 58, 59, 78, 79)
Ability to interpret operative reports, imaging, implants, DME, and complex procedures
Knowledge of payer-specific coding policies for Medicare, Medicaid, and commercial plans
Experience across office, hospital, and ASC surgical environments
CPC Certification Required
E/M coding, LCD coding, and NCD coding knowledge required
Bachelor’s degree in a relevant field, or equivalent combination of education and experience

Nice To Haves

Orthopedic or Neurosurgical coder experience preferred
Master's degree in a relevant field
CPC Certification
MSO experience

Responsibilities

Oversee daily coding workflows, queues, and work distribution
Ensure accurate and timely coding of all surgical encounters and procedures
Establish and maintain coding SOPs specific to surgical documentation
Implement internal pre-bill coding reviews and quality checks
Reduce coding-related denials through proactive review and education
Manage charge lag related to coding completion
Hires, trains, and supervises coding department staff both remotely and in-office.
Performs departmental manager functions to include annual reviews and staff coaching and development.
Allocates staff resources within department to meet the needs of a growing practice.
Works with the management team to develop and modify processes to ensure appropriate workflow processes are established to meet the needs of a dynamic healthcare environment and creates a positive working relationship among the Revenue Cycle management team.
Effectively manages on-site and remote staff
Promotes a positive work environment through effective teamwork
Complete other tasks or projects as needed or assigned