Regional Coding Manager

Omega Healthcare Solutions • Boca Raton, FL

1d • $70,000 - $100,000 • Remote

About The Position

The Regional Coding Manager provides overall management and direction of coding and abstracting activities and oversees the coding staff. The role leads coding operations, staff performance, training, validation, reporting, client service, and compliance, while supporting coding systems and operational goals. The position works with clients, medical staff, IT analysts, and internal teams to improve coding accuracy, documentation, reimbursement, efficiency, and data integrity.

This full-time position operates remotely from a home office and generally works Monday through Friday, 8:00 a.m. to 5:00 p.m. Occasional long hours and weekend work may be required, with minimal travel of up to 5%. The role has supervisory responsibility and uses standard office equipment such as computers and phones.

Omega Healthcare's benefits package may include health, dental, and vision coverage, voluntary insurance options, a 401(k) plan with employer match, professional development opportunities, paid time off, and holiday pay. Eligible employees may also be able to participate in bonus programs, commissions, or other variable incentive plans. Eligibility may vary by position, location, and tenure.

Requirements

• Bachelor’s degree, or a combination of advanced formal training within the discipline and dual credentials including Certified Coding Specialist (CCS).
• AHIMA certification as a RHIA, RHIT, or CCS.
• At least 5 years of coding management experience in a facility setting.
• Experience managing an offshore model.
• Ability to use Microsoft Office products, including Word, Excel, and PowerPoint.
• 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, and interpersonal skills.
• Excellent presentation, verbal, and written communication skills.
• Ability to build credibility and trust and maintain relationships with key business partners.
• Ability to maintain courteous and professional working relationships with employees at all organizational levels.
• Excellent analytical, critical-thinking, and problem-solving skills.
• Skill in using a personal computer and a variety of software applications.
• Ability to make key decisions at client sites and with direct reports without ongoing feedback or supervision from upper management.
• Ability to meet the physical demands described for the role, including occasional lifting or moving of up to 25 pounds.

Nice To Haves

• Professional-fee experience is beneficial but not required.
• Project management experience is a plus.

Responsibilities

• Manage and direct coding and abstracting activities, overseeing the duties and responsibilities of coding staff.
• Respond to coding and abstracting data and report requests from clients, physicians, and other internal customers.
• Use database queries and reports to perform auditing functions.
• Work with medical staff and other departments to resolve and provide education on coding, documentation, and reimbursement issues.
• Develop and oversee internal and external coding validation programs with established client programs; identify cases, monitor data collection timeliness, aggregate and analyze data, and identify trends.
• Provide coding staff with summary and individual feedback for performance improvement and compliance; report validation findings to clients monthly and identify opportunities for clinical documentation improvement and coder education.
• Maintain knowledge of payment methodologies, grouping classifications, ICD-10-CM, ICD-10-PCS, and ICD-9.
• Provide ongoing training and in-service programs for coding staff to support corporate compliance.
• Prepare and update coding and abstracting policies, procedures, and internal coding guidelines.
• Ensure month-end coding activity is closed for abstracting within established client timelines.
• Prepare monthly management reports on section productivity and quality.
• Complete performance reviews and recommend or initiate employee selection, promotion, disciplinary, and discharge actions.
• Coordinate coding staff meetings and keep staff informed of HIMS and regulatory changes, developments, and events.
• Provide leadership and expertise in coding, compliance, reimbursement, and coded-data reporting; understand health information flow in the electronic health record from registration through billing.
• Ensure compliance with OIG, CMS, state Medicaid, third-party payer, RAC, and other state and federal auditing contractor requirements for coding and data reporting.
• Assist with system analysis, implementation, testing, database management, maintenance, accuracy, regulatory compliance, troubleshooting, and security for coding and abstracting systems, interfaces, databases, and reporting tools, including systems such as 3M, Compass/Allscripts, and EPIC.
• Work with clients and IT analysts to develop products that improve performance, efficiency, and data integrity.
• Abide by AHIMA Standards of Ethical Coding, monitor the team for violations, and report concerns.
• Assist in preparing and monitoring operating budgets.
• Prepare and complete the weekly Omega Solutions metrics report.
• Work with the Omega Solutions team to vet candidates and ensure appropriate client assignments.
• Meet budgetary goals under client agreements and achieve margins determined by Omega Solutions.
• Meet all service-level agreements for client engagement.
• Oversee accounts receivable management (DNFB) and manage staffing resources to accommodate daily patient volume within expected turnaround times and financial targets.
• Attract, recognize, retain, and manage staff, and effectively utilize staff to enhance facility and organizational performance.
• Perform duties in compliance with company policies and procedures, including those related to HIPAA and compliance.

Benefits

• Health coverage may be included.
• Dental coverage may be included.
• Vision coverage may be included.
• Voluntary insurance options may be included.
• 401(k) plan with employer match may be included.
• Professional development opportunities may be available.
• Paid time off may be included.
• Holiday pay may be included.
• Eligible employees may have access to bonus programs, commissions, or other variable incentive plans; eligibility may vary by position, location, and tenure.

What This Job Offers

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