Coding Manager - SA

Omega Healthcare Solutions • Boca Raton, FL

4d

About The Position

The Coding Manager provides overall management and direction of coding and abstracting operations, including oversight of coding staff and daily inpatient, outpatient, and professional fee coding across Central and West regions. The role leads coding quality, education, compliance, productivity, staffing, and client service, and serves as a subject-matter expert in facility coding and reimbursement.

The manager develops and oversees coding validation and audit programs; analyzes and reports quality, productivity, and performance metrics; addresses coding discrepancies, denials, documentation, and reimbursement issues; and provides education to coders and clinical providers. The position also maintains coding policies and procedures, ensures timely month-end closeout, supports operating budgets and client service-level agreements, and manages staffing resources against patient volumes and financial targets.

The role collaborates with clients, medical staff, IT analysts, and internal teams to improve coding systems, tools, data integrity, and performance. It supports implementation, testing, maintenance, security, and troubleshooting of coding and abstracting systems, including Epic and 3M/Solventum tools. The Coding Manager ensures adherence to ethical coding standards and applicable company, HIPAA, CMS, payer, state, and federal requirements.

Requirements

• Bachelor’s degree in Health Information Management, Nursing, or a related field.
• Minimum 5 years of progressive coding experience, including inpatient facility coding.
• Demonstrated expertise in outpatient and professional fee coding.
• Strong supervisory and team-leadership skills, including staff development.
• Proficiency with Epic EHR and 3M/Solventum coding software.
• In-depth knowledge of CMS, ICD-10-CM/PCS, CPT, HCPCS, and payer guidelines.
• Excellent communication skills for provider education and cross-functional collaboration.
• Ability to analyze data, generate reports, and drive process improvements.
• Experience conducting internal audits and managing external audit responses.
• Commitment to high accuracy and compliance standards.
• Ability to prioritize and multitask in a fast-paced, changing environment and work across work types and specialties.
• Ability to self-motivate, set goals, and meet deadlines.
• Leadership, mentoring, interpersonal, presentation, verbal, and written communication skills.
• Ability to build and maintain credible, trusting relationships with business partners and maintain professional working relationships across organizational levels.
• Excellent analytical, critical-thinking, and problem-solving skills, including making key decisions with limited ongoing supervision.
• Skill operating a personal computer and using a variety of software applications.
• Ability to understand the flow of health information in the electronic health record from registration through documentation, discharge, coding, and billing.
• Ability to attract, recognize, retain, manage, and effectively utilize staff.
• Ability to understand and demonstrate skill with Microsoft Office Suite products.

Nice To Haves

• RHIT, RHIA, or CCS certification preferred.

Responsibilities

• Manage and direct coding and abstracting activities and oversee coding staff.
• Oversee daily inpatient, outpatient, and professional fee coding operations across Central and West regions.
• Supervise, mentor, evaluate, and develop coding staff; conduct performance reviews and participate in employee selection, promotion, disciplinary, and discharge actions.
• Respond to coding and abstracting data and report requests from clients, physicians, and internal customers.
• Use database queries and reports to conduct auditing and validation activities.
• Develop and oversee internal and external coding validation programs; identify cases, monitor data collection timeliness, analyze trends, and provide staff feedback.
• Report validation findings to clients monthly and identify opportunities for clinical documentation improvement and coder education.
• Provide ongoing coding training and in-service programs for staff and clinical providers.
• Prepare and update coding and abstracting policies, procedures, and internal coding guidelines.
• Ensure month-end coding closeout is completed within client timelines.
• Prepare monthly management reports on productivity and quality and present coding performance metrics to senior leadership.
• Coordinate coding staff meetings and communicate HIMS and regulatory changes, developments, and events.
• Provide expertise in coding, compliance, reimbursement, and coded-data reporting; ensure compliance with applicable OIG, CMS, Medicaid, payer, RAC, state, and federal requirements.
• Assist with analysis, implementation, testing, database management, maintenance, accuracy, regulatory compliance, troubleshooting, and security of coding and abstracting systems, interfaces, databases, and reporting tools.
• Collaborate with clients and IT analysts to develop products that improve performance, efficiency, and data integrity.
• Monitor adherence to AHIMA Standards of Ethical Coding and report concerns or violations.
• Assist in preparing and monitoring operating budgets; meet client budgetary goals, margins, and SLAs.
• Prepare and complete weekly Omega solutions metrics reports and work with the Omega solutions team to vet candidates for appropriate client assignments.
• Oversee accounts receivable (DNFB) management and allocate staffing to meet patient volumes, turnaround times, and financial targets.
• Lead root-cause analysis for denials and implement corrective action plans.
• Participate in virtual meetings, training, coaching, audits, and other work-related interactions using company-approved collaboration technology.
• Perform duties in accordance with company policies and procedures, including HIPAA and compliance requirements.
• Stay current with coding updates, regulations, and industry best practices.

Benefits

• Health coverage
• Dental coverage
• Vision coverage
• Voluntary insurance options
• 401(k) plan with employer match
• Professional development opportunities
• Paid time off
• Holiday pay
• Potential eligibility for bonus programs, commissions, or other variable incentive plans

What This Job Offers

• Job Type: Full-time
• Career Level: Manager