HCC Coding Manager

IKS Health•Virtual,

2d•$85,000 - $95,000•Remote

About The Position

The Coding Manager reports to the Director of Coding Services and leads day-to-day delivery of remote coding services for an assigned portfolio of Value-Based Care (VBC) clients. This experienced leader oversees coder productivity, coding accuracy, client satisfaction, and contractual SLA performance across domestic and global teams. The role directs client onboarding, resource scheduling, workload and capacity planning, and accurate time and productivity reporting that supports client billing and invoicing. In partnership with Coding Audit, Capacity Management, and Global Coding Operations, the manager turns audit findings into corrective action and continuous improvement. The role requires strong organization, the ability to manage competing priorities and deadlines, prompt professional communication, and proficiency with Microsoft Office and Google Workspace, particularly Excel and Google Sheets. Occasional travel may be required. The manager oversees client relationships and coding service delivery, leads and develops a team of up to 50 direct and indirect reports, analyzes operational and business data, and serves as a coding subject-matter expert. The position ensures adherence to applicable coding guidelines, regulatory and accreditation requirements, HIPAA, and AHIMA ethical standards. A bachelor's degree in a related field is preferred, with equivalent coding-focused experience and leadership considered in lieu of a degree. At least one active AHIMA or AAPC credential is required, and credentials and CEUs must be maintained in good standing.

Requirements

5–7 years of progressive management experience leading medical coding teams, such as in a coding manager, coding supervisor, or HIM management role.
7+ years of total medical coding experience.
Experience managing remote and/or offshore coding teams of 20 or more staff.
Expert knowledge of ICD-10-CM/PCS, CPT, HCPCS, E/M guidelines, and HCC/risk adjustment methodology.
Working knowledge of coding compliance, CMS regulations, HIPAA, and coding audit processes.
Advanced Microsoft Excel and Google Sheets skills, including formulas, pivot tables, VLOOKUP/XLOOKUP, conditional formatting, charts, and data validation.
Proficiency with Microsoft Office and Google Workspace.
Comfort with virtual collaboration tools, ticketing systems, and workforce or productivity tracking tools.
At least one active AHIMA or AAPC credential: RHIA, RHIT, CCS, CCS-P, CPC, or COC.
Ability to maintain required credentials and CEUs in good standing.
Strong business analytics ability, including P&L awareness, capacity and utilization models, productivity standards, and benchmarking.
Ability to adapt quickly to multiple HIM/EHR platforms and encoder/CAC tools.
Exceptional multitasking, time management, organization, and deadline-management skills.
Responsive, professional written and verbal communication skills and strong email management.
Strong customer service, troubleshooting, and issue-resolution skills.
Accountable and dependable leadership, with the ability to coach clearly and hold teams to high standards.
Analytical problem-solving skills and strong attention to detail.
Ability to manage work and priorities in a remote environment.
Bachelor's degree in Health Information Management, Health Administration, or a related field preferred; equivalent coding-focused experience and leadership may be considered in lieu of a degree.

Nice To Haves

Outpatient, professional fee, inpatient, and/or risk adjustment (HCC) coding experience.
Client-facing experience in a coding services, revenue cycle, or healthcare consulting organization.
Experience supporting Value-Based Care, Medicare Advantage, or risk adjustment programs.
CRC (Certified Risk Adjustment Coder) certification for VBC or risk adjustment clients.
Occasional travel may be required.

Responsibilities

Ensure assigned clients' contract requirements, service-level agreements, and turnaround-time commitments are met or exceeded.
Participate in client kick-off calls and support the transition from sales to operations.
Review client discovery information to assess volume, workload, specialties, and staffing needs; coordinate coding staff onboarding, system access, and client-specific training.
Manage day-to-day client relationships and coding operations as the primary point of contact for coding delivery.
Monitor work queues, backlogs, DNFB, and productivity metrics; identify coverage gaps and coordinate solutions with Capacity Management.
Liaise with clients on coding questions and coordinate quality efforts and audit outcomes with the Coding Audit team.
Identify performance or compliance issues that may put an account at risk, escalate them, and document mitigation plans.
Provide coder schedules, weekly productivity and quality metrics, and monthly reports with findings and improvement action plans.
Lead client status calls, document action items, resolve issues within agreed timelines, and deliver project status reports to operational leadership.
Respond to client communications within one business day.
Lead, coach, and develop up to 50 direct and indirect reports, including supervisors, domestic coders, and global coders.
Set expectations and monitor productivity, accuracy, and schedule adherence using activity and workforce tools.
Validate productivity and time data used for client billing and invoicing.
Manage coder schedules, time off, and backup coverage, and hold coders accountable to expected schedules, excluding independent contractors.
Partner with Global Coding Operations on global coder coverage, access, and training, and remain accountable for outcomes on assigned clients.
Review coder accuracy with the Coding Audit team and provide targeted education and coaching.
Initiate and manage corrective action plans for coders who do not meet performance standards.
Conduct regular team meetings about operational issues, guideline updates, and client expectations.
Support hiring, onboarding, recognition, and retention programs.
Gather and analyze data for monthly Coding Business Unit meetings, including capacity and utilization modeling, benchmarking, and trend analysis.
Build and maintain productivity, quality, and staffing trackers and dashboards in Excel and Google Sheets.
Use data to forecast staffing needs, identify process improvements, and support P&L objectives.
Serve as a subject-matter expert on ICD-10-CM/PCS, CPT, HCPCS, and HCC/risk adjustment coding guidelines relevant to assigned clients.
Stay current on official coding guidelines, CMS regulations, payer policies, and industry changes, and communicate updates to the team.
Ensure compliance with regulatory and accreditation requirements, HIPAA privacy and security, and AHIMA Standards of Ethical Coding.
Maintain required CEUs and active certifications or credentials.
Manage multiple clients, priorities, and deadlines in a fast-paced remote environment while maintaining attention to detail.
Create, maintain, and distribute policies, procedures, workflows, and process documents, and store and update documentation on Google Drive.
Use Microsoft Office and Google Workspace to produce reports, presentations, schedules, and correspondence.
Model IKS Health's values and demonstrate commitment to client service, quality, and continuous improvement.