Professional Coding Manager

Chesapeake Regional Healthcare•Chesapeake, VA

About The Position

The Professional Coding Manager provides operational oversight for professional coding functions. The role leads and supervises a multi-specialty coding team to ensure accurate and timely coding in accordance with ICD-10, CPT, and HCPCS standards and CMS, HRSA, and payer-specific guidelines. The manager supports collaboration among providers, coders, and billers, and works with clinical providers to improve documentation quality, compliant billing, risk stratification, and Uniform Data System (UDS) reporting. The position conducts coding audits and chart reviews, monitors coding quality and productivity, and implements corrective actions and performance improvement plans. It maintains current knowledge of applicable coding regulations, updates protocols and workflows, and delivers training to providers and coding staff. The manager also contributes to Revenue Cycle policies, procedures, system enhancements, strategy, change management, and process improvement efforts. The role supervises Coding Specialists and Senior Coding Specialists. A bachelor's degree in Health Information Management or a related field is required, although five years of coding experience may be considered in lieu of the degree. A master's degree is preferred. Required experience includes five years in professional coding, two years in management, and three years with Epic and/or Athena. CCS or CPC certification is required.

Requirements

Bachelor's degree in Health Information Management or a related field; five years of coding experience may be considered in lieu of the degree.
Five years of experience in professional coding.
Two years of management experience.
Three years of Epic and/or Athena experience.
Certified Coding Specialist (CCS) or Certified Professional Coder (CPC) certification.

Nice To Haves

Master's degree in Health Information Management or a related field.

Responsibilities

Provide leadership and supervision to a multi-specialty coding team, ensuring accurate and timely coding according to ICD-10, CPT, and HCPCS standards and CMS, HRSA, and payer-specific guidelines.
Promote effective collaboration among providers, coders, and billers to support compliant documentation and optimal coding outcomes.
Collaborate with clinical providers to improve documentation quality and accuracy, compliant billing, risk stratification, and UDS reporting.
Conduct routine internal coding audits and chart reviews, identify trends, and implement corrective actions to support compliance and data integrity.
Keep current with federal, state, and payer coding regulations and update internal protocols and workflows.
Design and deliver ongoing training for providers and coding staff on documentation improvement, regulatory changes, and coding best practices.
Monitor coding productivity, accuracy, and quality metrics, and develop and implement performance improvement plans.
Assist in developing and implementing policies, procedures, and system enhancements that support optimal reimbursement and regulatory compliance across Revenue Cycle units.
Partner in developing strategies to address high-risk coding practices and recommend corrective action plans or process improvements.
Create policies, procedures, and internal controls to reinforce coding quality goals and outcomes.
Identify and address change management issues related to the evolving Revenue Cycle environment.
Lead process improvement and redesign efforts to improve customer satisfaction, reduce costs, or meet departmental and institutional goals.
Track and report coder productivity by collecting relevant data.
Monitor key performance indicators and metrics and enact action plans to encourage exceptional results.
Supervise Coding Specialists and Senior Coding Specialists.