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Coding Manager
HURC Healthcare Solutions. Supervise day-to-day coding operations for professional fee claims across multiple clinical specialties.
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in professional fee coding and billing, with a strong focus on compliance, operational efficiency, and revenue cycle management. Proven ability to lead teams, analyze performance metrics, and implement improvement strategies to enhance coding accuracy and financial outcomes.
Highest-signal resume keywords
Professional Fee CodingRevenue Cycle ManagementLeadership ExperienceCoding CertificationsPayer Requirements Understanding
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Coding AccuracyBilling WorkflowsFinancial Performance AnalysisCompliance MonitoringDenial ManagementCharge CaptureClient ReportingOperational Gap EvaluationPerformance Metrics AnalysisCorrective Action Development
Soft Skills
Communication SkillsClient Relationship ManagementTeam LeadershipProblem-SolvingPresentation Skills
Tools & Technologies
Epic EHREncoderCAC TechnologyCDI TechnologyRevenue Cycle Technology
Certifications & Qualifications
RHIARHITCPCCCSCCS-P
Industry Keywords
Healthcare Financial OperationsProfessional Fee BillingHealthcare ClientsHospital DenialsRevenue Integrity
About the role
Key responsibilities & impact- Supervise day-to-day coding operations for professional fee claims across multiple clinical specialties.
- Monitor workflow and ensure compliance with standard operating procedures.
- Provide hands-on support for complex coding reviews and escalated coding issues.
- Monitor program performance and develop corrective action and improvement plans.
- Identify opportunities to improve coding accuracy, reimbursement, productivity, quality, and financial performance.
- Provide subject matter expertise in professional fee coding and billing.
- Evaluate coding and billing workflows and identify operational gaps.
- Review coding accuracy, productivity, quality, reimbursement, and compliance trends.
- Evaluate documentation, coding, billing, reimbursement, and denials relationships.
- Identify opportunities to reduce coding-related denials and prevent revenue leakage.
- Evaluate charge capture, claim submission, edits, billing workflows, and payer requirements.
- Partner with CDI, coding, utilization review, denials, and revenue cycle teams.
- Serve as a client-facing leader for professional fee coding operations.
- Lead coder and client meetings.
- Develop recommendations based on client data, workflows, financial performance, and operational findings.
- Establish relationships with coding leaders, providers, and stakeholders.
- Manage client escalations and ensure timely resolution.
- Identify opportunities to expand existing client relationships through additional solutions.
- Support initiatives to improve clean claim rates, reduce denials, accelerate reimbursement, and improve net revenue.
- Partner with clients to establish benchmarks and improvement targets.
- Develop and interpret dashboards and performance reports.
- Establish program baselines and measurable improvement targets.
- Analyze productivity, quality, denial, reimbursement, and financial metrics.
- Partner with analytics resources to develop client reporting.
- Participate in implementation of new coding, billing, and revenue cycle programs.
- Ensure coding and billing programs comply with federal and state regulations, payer requirements, and client policies.
- Monitor coding quality and compliance.
- Support internal and external audits.
- Identify compliance risks and recommend corrective action.
- Maintain appropriate documentation and audit trails.
- Establish performance expectations and accountability.
- Promote quality, accountability, continuous improvement, and client service.
Requirements
What you’ll need- Bachelor’s degree in health information management, Healthcare Administration, Business, Finance, or related field; equivalent experience may be considered.
- 7+ years of progressive experience in professional fee coding, billing, HIM, revenue cycle, or healthcare financial operations.
- Must be credentialed coder with a minimum of one of these certifications: RHIA, RHIT, CPC, CCS, or CCS-P.
- 2+ years of leadership or supervisory experience.
- Strong understanding of professional fee billing and revenue cycle operations.
- Experience working with healthcare clients, hospitals, health systems, or physician organizations.
- Strong understanding of payer requirements and reimbursement methodologies.
- Excellent written, verbal, presentation, and communication skills.
- Experience with Epic or other major EHR platforms.
- Experience with encoder, CAC, CDI, billing, or revenue cycle technology.
- Experience with hospital denials and appeals.
- Experience with revenue integrity.
- Experience working with outsourced coding or revenue cycle organizations.
- Experience managing multi-client or national healthcare programs.
- Travel as needed.
Benefits
Comp & perks- Remote work arrangement
- Full-time employment