Medical Coding Manager

The Cardiovascular Care Group•Springfield, NJ

2d•$110,000 - $135,000

About The Position

The Coding Manager leads the professional coding team for a high-volume, multi-specialty vascular surgery practice covering hospital-based procedures, ambulatory surgery centers, office-based laboratories, office visits, imaging, and other vascular services. This hands-on operational leadership role combines technical vascular surgery coding expertise with responsibility for staff development, coding quality, operational efficiency, charge capture, reimbursement performance, and compliance. The manager oversees team performance and complex coding, establishes workflows and measurable standards, conducts prospective and retrospective audits, and develops processes to identify and correct coding and documentation issues before claims are submitted. The role also develops provider education and documentation-improvement initiatives, analyzes operational and revenue-cycle data, leads cross-functional improvement projects, and communicates findings and recommendations to physicians, staff, revenue cycle personnel, and executive leadership. The Coding Manager is accountable for measurable, sustained improvement while maintaining coding integrity, medical necessity, and compliance with applicable requirements.

Requirements

At least 5–8 years of professional medical coding experience, including substantial hands-on vascular surgery coding experience.
Demonstrated experience managing, supervising, auditing, or leading a professional coding team.
Strong technical knowledge of complex open and endovascular vascular surgery coding.
Advanced knowledge of CPT, HCPCS, ICD-10-CM, modifiers, NCCI edits, global surgery rules, CMS requirements, and commercial payer policies.
Ability to interpret complex operative reports and independently resolve difficult coding scenarios.
Experience developing or conducting coding audits, analyzing errors, and implementing corrective action.
Ability to manage staff performance, establish expectations, coach employees, and address performance deficiencies.
Strong analytical and problem-solving skills, including root-cause analysis and sustainable solution implementation.
Experience leading projects or process improvements with measurable outcomes.
Strong organizational skills and ability to manage multiple priorities and deadlines.
Proficiency in Microsoft Excel and experience with EMR/EHR, encoder, billing, practice management, or reporting systems.
Excellent written and verbal communication skills, including presenting technical findings to physicians and noncoding stakeholders.

Nice To Haves

CPC, CCS-P, CIRCC, COC, or equivalent professional coding certification; CIRCC and/or CCS credentials are strongly preferred.
Experience with coding compliance audits, provider education, and documentation-improvement initiatives.
Experience implementing prospective claim reviews or other coding controls to improve charge capture and prevent claim errors.
Experience with vascular surgery revenue cycle operations and commercial payer reimbursement requirements.
Experience with Aprima, Epic, or comparable EMR/PM systems.
Experience with reporting automation, AI-assisted coding, or coding workflow technology.
Bachelor’s degree in healthcare administration, health information management, business, or a related field.

Responsibilities

Lead day-to-day operations of the professional coding team and manage staff performance, productivity, accuracy, turnaround time, and quality.
Set departmental goals, individual expectations, and accountability standards; monitor work queues, backlogs, aging, quality metrics, and service levels.
Assign and balance workloads; conduct team meetings, coaching, performance reviews, and training; address skill gaps and performance deficiencies.
Develop standardized workflows, procedures, escalation protocols, and cross-training plans.
Provide technical oversight of complex professional vascular surgery coding and resolve difficult cases, discrepancies, and recurring coding questions.
Ensure appropriate CPT, HCPCS, ICD-10-CM, and modifier assignment under applicable coding, payer, and regulatory requirements.
Develop and manage prospective and retrospective coding audits, set risk-based priorities, track results, analyze root causes, and implement corrective actions.
Identify missed charges, undercoding, overcoding, modifier errors, bundling issues, documentation deficiencies, and compliance concerns.
Establish risk-based pre-billing review processes and collaborate with billing and revenue cycle teams to resolve coding issues before claim submission.
Analyze denials, underpayments, claim corrections, missed charges, and reimbursement discrepancies; implement preventive measures and measure outcomes.
Develop provider education and feedback programs based on audits, documentation deficiencies, coding trends, and revenue opportunities.
Work with physicians and clinical leadership to improve operative reports, procedure notes, E&M documentation, and other records supporting professional claims.
Lead process-improvement projects from problem identification through implementation, monitoring, and evaluation; coordinate cross-functional stakeholders and report results.
Develop performance reports and dashboards tracking productivity, accuracy, turnaround time, audits, documentation issues, pre-billing findings, denials, staff development, and project outcomes.
Use Excel, EMR/PM reporting tools, and analytics resources to investigate trends, identify root causes, and communicate recommendations to leadership.
Evaluate coding workflow technology, automation, and AI-assisted coding tools; participate in testing and implementation and establish human review and quality controls.
Collaborate with billing, revenue cycle, authorization, clinical operations, compliance, and other stakeholders to improve workflows and address operational risks.

Benefits

Medical coverage; Employee Only coverage under the Cigna Bronze plan is 100% paid by the group.
Dental insurance with three plan options from Delta Dental and Cigna.
Vision insurance with two plan options from Delta VSP.
Health Savings Account and Flexible Spending Accounts for healthcare, dependent care, transit, and parking.
Group-paid $25,000 life insurance, with additional voluntary coverage available.
Short-term and long-term disability coverage, with additional voluntary coverage available.
Optional accident, critical illness, and hospital indemnity benefits.
Paid time off.
Holiday pay.
One day of paid jury duty at full pay.
Employee assistance programs through RWJBH and Cigna.
401(k) employer contributions of 3% upon eligibility.
Employee discounts through Working Advantage and Life Mart.
Employee engagement events, including a holiday party, appreciation days, social events, fundraisers, and contests.