Medical Coding Manager

Alteva RCM

2d•$85,000 - $110,000

About The Position

The Medical Coding Manager provides operational leadership for coding activities across assigned specialties and service lines. This role ensures coding accuracy, productivity, and compliance with applicable regulatory and payer requirements, while partnering with billing, clinical, and compliance teams to support clean claim submission, reduce denials, and protect revenue integrity.

Requirements

5+ years of professional medical coding experience across one or more specialties
Working knowledge of ICD-10-CM, CPT, HCPCS, and modifier application, as applicable to the organization’s services
Strong understanding of coding compliance principles and audit readiness expectations
Demonstrated ability to manage workflows, track metrics, and drive continuous improvement
Proficiency with EHR and coding/billing systems, encoder tools, and productivity tracking platforms

Nice To Haves

3-4+ years of people leadership experience preferred
Active coding credential (e.g., CPC, CCS, CIC) preferred based on specialty and service mix
Experience managing coding operations in a multi-specialty or service-based environment
Cross-functional experience partnering with billing and AR teams to address denials and documentation-related revenue risk

Responsibilities

Lead, coach, and develop coding staff (in-house and outsourced resources) to support accuracy, consistency, and accountability
Support recruiting, onboarding, training, and competency validation for new and existing team members
Establish clear performance expectations and conduct regular evaluations aligned to quality and productivity standards
Address performance gaps through structured coaching and corrective action plans as needed
Oversee day-to-day coding operations to ensure timely completion of encounters and consistent application of coding standards
Develop and maintain workflows that improve productivity, turnaround time, and coding accuracy across specialties
Ensure appropriate work distribution based on complexity, volume, and team capacity
Maintain departmental policies and procedures consistent with official coding guidelines and payer requirements
Oversee internal and external coding audits, ensuring timely response, documentation support, and completion of corrective actions
Monitor adherence to federal, state, and payer-specific coding rules, including documentation requirements
Identify risk areas and implement corrective and preventive action plans to reduce compliance exposure
Maintain audit-ready processes and participate in compliance initiatives, education, and reporting
Monitor team KPIs, including coding quality scores, productivity, and turnaround times
Partner with billing and revenue cycle leadership to support clean claim submission and reduce coding-related denials
Identify trends impacting reimbursement (e.g., documentation gaps, modifier usage, payer edits) and implement targeted improvements
Partner with providers, clinical leadership, and compliance to promote complete and accurate documentation
Serve as a resource for coding guidance, escalation support, and interpretation of coding rules
Collaborate with billing, AR, and payer relations teams on payer-specific coding strategies and issue resolution
Support contract review, LOA alignment, and operational readiness for new payers, services, or documentation requirements