Manager Professional Billing Coding Operations - Remote
Core
Manage professional billing coding operations, validate CPT/HCPCS/diagnosis code accuracy, and supervise coding staff to ensure compliance with payer guidelines and organizational goals.
Role type
Senior management professional billing and coding operations manager
Builds
Accurate medical billing claims and compliant coding operations for a safety-net hospital network
Domain
Healthcare / Medical Billing and Coding
Required skills
ICD-10-CM, CPT-4, HCPCS Level II, coding guidelines, staff management, quality assurance, denial management, training and education, scheduling, performance evaluation
Preferred skills
Acute care hospital experience, trauma center experience, academic medical setting experience, RAC review experience
Technologies
Computerized billing and charging systems, Microsoft applications
Responsibilities
Supervise professional billing coding staff and manage team performance; Review patient medical records and validate code assignments; Conduct quality assurance audits and resolve coding denials; Provide training and education on coding guidelines to staff and providers; Manage staffing, scheduling, and workload distribution; Track and respond to external coding reviews (e.g., RAC)
Seniority
Manager, hands-on leadership
