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Posted: 10/20/2026Manager, Professional Billing Coding Operations
Boston Medical Center (BMC)Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in CPT, HCPCS, and ICD-10-CM coding, along with strong management skills to lead and develop a Professional Billing Coding Operations team. Proficient in coding education, compliance with regulations, and enhancing coding efficiency within healthcare settings.
Highest-signal resume keywords
CPC – Certified Professional CoderICD-10-CM CodingCPT-4 CodingManagement ExperienceCoding Education and Training
About the role
Key responsibilities & impact- Manage the day-to-day operations of the Professional Billing Coding Operations team
- Validate accurate CPT, HCPCS, and diagnosis code assignment
- Review medical records and abstract diagnoses and procedures using ICD-10-CM and CPT-4/HCPCS
- Sequence diagnoses, procedures, and complications according to coding and regulatory guidelines
- Review and resolve coding questions, edits, denials, and accountabilities
- Conduct random chart audits and quality reviews
- Analyze benchmarking profiles and report coding accuracy and abstracting results
- Provide coding updates, research coding issues, and clarify documentation with medical staff
- Manage, develop, mentor, interview, orient, train, evaluate, hire, terminate, and discipline coding staff as needed
- Establish staffing schedules and assign workloads and projects
- Provide coding and documentation training to healthcare professionals, coders, and Revenue Cycle staff
- Develop strategies to improve coding efficiency and team productivity
- Track overtime, absenteeism, hours, leave, and vacation/sick time; review and approve timesheets
- Participate in coding and reimbursement meetings
- Support RAC and other external coding reviews and payer reviews
- Follow hospital infection control and safety procedures
Requirements
What you’ll need- Bachelor’s degree or equivalent combination of formal education and experience
- CPC – Certified Professional Coder
- At least five years of coding experience, including education, mentoring, and training
- Minimum of five years acute care hospital coding experience with ICD-10-CM and CPT-4; academic medical setting or trauma center preferred
- Minimum of three years management experience required; five years preferred
- Prior experience working claim edits and denials
- Excellent command of ICD-10-CM and CPT4/HCPCS coding conventions, including E&M coding
- Knowledge of human anatomy, physiology, and pathology
- Skill in providing hands-on education to PB Coding Operations staff
- Strong knowledge of health records, computerized billing and charging systems, Microsoft applications, data integrity, and processing techniques
- Knowledge of hospital inpatient and outpatient reimbursement methodologies
- Knowledge of payer claim edits and payer denials
- In-depth knowledge of medical terminology, ICD-10-CM and CPT-4 coding conventions, CMS National Coverage Determinations, and applicable coding regulations and law
- Ability to maintain HIPAA confidentiality and compliance
- Excellent organizational, problem-solving, multitasking, prioritization, and follow-through skills
- Ability to mentor, guide, and motivate direct reports
- Ability to work cooperatively with healthcare delivery teams, handle interruptions, adapt to workload and schedule changes, and respond to urgent requests
Benefits
Comp & perks- Medical, dental, vision, and pharmacy benefits
- Discretionary annual bonuses
- Merit increases
- Flexible Spending Accounts
- 403(b) savings matches
- Paid time off
- Career advancement opportunities
- Resources to support employee and family well-being
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
CPT CodingHCPCS CodingICD-10-CM CodingE&M CodingCoding AuditsCoding ComplianceData IntegrityReimbursement MethodologiesClaim EditsMedical Terminology
Soft Skills
Organizational SkillsProblem-Solving SkillsMultitasking SkillsPrioritization SkillsMentoring Skills
Tools & Technologies
Computerized Billing SystemsMicrosoft Applications
Certifications & Qualifications
CPC – Certified Professional Coder
Industry Keywords
Healthcare CodingRevenue Cycle ManagementAcute Care Hospital CodingPayer DenialsCMS National Coverage DeterminationsHIPAA Compliance