Revenue Cycle Operations Professional Coding Manager

Impact Advisors

3d

About The Position

Impact Advisors, LLC is a nationally recognized healthcare management consulting firm delivering Best in KLAS advisory, implementation, and optimization services. We are driven by a commitment to exceed client expectations and are proud to be a trusted partner to many of the nation's leading healthcare organizations. Our mission to drive patient-centered, value-driven outcomes has earned us prestigious industry accolades. To learn more about us, visit www.impact-advisors.com Job Overview Impact Advisors is seeking a dynamic and motivated Revenue Cycle Operations Professional Coding Manager. The Coding Manager is responsible for overseeing professional and facility coding operations on behalf of a hospital system across complex outpatient specialties. This role serves as the operational and strategic liaison between the provider organization and the outsourced revenue cycle team, ensuring accurate coding, regulatory compliance, productivity, and financial performance. This leader manages distributed teams, including remote U.S.-based coders and nearshore coding teams, and is accountable for meeting service-level agreements (SLAs), quality standards, and production targets while aligning with the hospital system’s clinical, compliance, and financial objectives. This position offers a unique opportunity to contribute to client success while making a meaningful impact on the healthcare industry.

Requirements

• Bachelor’s degree in Health Information Management, Healthcare Administration, or related field (or equivalent experience)
• 7+ years of progressive experience in hospital coding and revenue cycle operations
• Demonstrated experience managing coding operations for complex, multi-specialty hospital environments
• Proven leadership experience overseeing remote and near‑shore teams
• Strong understanding of hospital reimbursement methodologies and payer requirements
• Advanced knowledge of regulatory and compliance standards related to coding
• CCS, CCS-P, RHIA, RHIT, CPC, or equivalent coding credential

Nice To Haves

• Additional specialty certifications preferred
• Experience working within an outsourced revenue cycle or managed services environment
• Prior responsibility managing operations on behalf of provider organizations
• Familiarity with Pennsylvania-specific payer landscapes and hospital regulations
• Experience supporting large health systems or academic medical centers
• Strong Epic or enterprise EHR experience
• Ability to travel to global locations to support training and onboarding.

Responsibilities

• Daily Operational Oversight: Provide end-to-end operational oversight of professional and/or facility coding functions for complex hospital services
• Ensure accurate and compliant coding across high-acuity and multi-specialty services, including but not limited to: Surgical specialties Cardiology, orthopedics, neurology, oncology ED, observation, and ambulatory services
• Monitor coding accuracy, productivity, backlog, DNFB, and aging accounts to support cash flow optimization. PB Pre-AR
• Ensure alignment with ICD-10-CM, ICD-10-PCS, CPT, HCPCS, MS-DRG, APR-DRG, and payer-specific rules
• Leadership: Maintain strong working relationships with hospital leadership, HIM, Compliance, CDI, Case Management, and Finance stakeholders
• Translate provider expectations into actionable workflows, benchmarks, and staffing plans
• Lead regular operational reviews, KPI reporting, and performance discussions with provider leadership
• Lead, coach, and performance-manage remote and near‑shore coding teams
• Establish productivity expectations, quality benchmarks, and escalation protocols
• Coordinate staffing plans to support volume fluctuations, seasonality, and specialty coverage
• Collaborate with Training and QA teams to address performance gaps and onboarding needs
• Quality, Compliance & Audit Ensure coding practices meet all federal, state (including Pennsylvania-specific), and payer regulations
• Partner with Compliance teams on internal/external audits, findings remediation, and education plans
• Ensure timely resolution of audit findings, denials related to coding, and payer inquiries
• Maintain readiness for RAC, OIG, payer, and internal compliance audits

Benefits

• For salaried positions, this role may also be eligible for an annual performance bonus.
• Additional benefits and perks may also be available, depending on the position and employment terms.

What This Job Offers

• Job Type: Full-time
• Career Level: Manager
• Number of Employees: 251-500 employees