Manager of Hospital Coding

Reporting to the Director of Revenue Cycle, the Manager of Hospital Coding oversees all coding operations for inpatient, outpatient, and ancillary services within the hospital. The role ensures accurate, compliant coding aligned with industry standards and regulatory requirements, focusing on optimizing productivity, accuracy, and reimbursement. This position provides leadership and operational oversight for the hospital coding team, ensuring alignment with financial and compliance goals. RESPONSIBILITIES: Supervise and manage coding staff, including hiring, training, scheduling, and performance evaluations. Monitor coding accuracy, productivity, and compliance with federal guidelines (ICD-10-CM, CPT, HCPCS, ICD-10-PCS). Oversee coding audits and education to ensure quality and identify training needs. Collaborate with revenue cycle, billing, compliance, and clinical departments to resolve coding and documentation issues. Ensure coding is completed within established timeframes to support timely billing and reimbursement. Stay current with changes in coding standards, payer policies, and regulatory guidelines (CMS, OIG, HIPAA). Develop and implement departmental policies, procedures, and performance metrics. Utilize coding and EHR software tools to track team performance and workflow. Provide regular reports on coding performance, denial trends, and audit outcomes to Revenue Cycle leadership. REQUIREMENTS: Education: Associate’s degree in Health Information Management or related field required. Bachelor’s degree preferred. Certifications: One or more of the following required: RHIA, RHIT, CCS, CPC, or equivalent coding certification. Experience: Minimum of 3 years of medical coding experience in a hospital setting. Minimum of 1 year in a supervisory or leadership role. Experience with inpatient and outpatient coding preferred. Skills: Strong knowledge of ICD-10-CM, ICD-10-PCS, CPT, HCPCS, DRG, and APC coding methodologies. Familiarity with EHR systems (Cerner, Meditech) and coding software (3M). Strong leadership, organizational, and interpersonal communication skills. Ability to manage deadlines, multitask, and maintain compliance under pressure. SCOPE OF POSITION: Reporting to the Director of Revenue Cycle, the Manager of Hospital Coding is responsible for overseeing all coding operations for inpatient, outpatient, and ancillary services within the hospital setting. The role ensures accurate and compliant coding in accordance with industry standards and regulatory requirements, with a focus on optimizing coding productivity, accuracy, and reimbursement. This position provides leadership and operational oversight for the hospital coding team and ensures alignment with financial and compliance goals. RESPONSIBILITIES: Supervise and manage coding staff, including hiring, training, scheduling, and performance evaluations. Monitor coding accuracy, productivity, and compliance with federal coding guidelines (ICD-10-CM, CPT, HCPCS, ICD-10-PCS). Oversee coding audits and education to ensure quality and identify training needs. Collaborate with revenue cycle, billing, compliance, and clinical departments to resolve coding and documentation issues. Ensure coding is completed within established timeframes to support timely billing and reimbursement. Stay current with changes in coding standards, payer policies, and regulatory guidelines (CMS, OIG, HIPAA). Develop and implement departmental policies, procedures, and performance metrics. Utilize coding and EHR software tools to track team performance and workflow. Provide regular reports on coding performance, denial trends, and audit outcomes to Revenue Cycle leadership. REQUIREMENTS: Education: Associate’s degree in Health Information Management or related field required. Bachelor’s degree preferred. Certifications: One or more of the following required: RHIA, RHIT, CCS, CPC, or equivalent coding certification. Experience: Minimum of 3 years of medical coding experience in a hospital setting. Minimum of 1 year in a supervisory or leadership role. Experience with inpatient and outpatient coding preferred. Skills: Strong knowledge of ICD-10-CM, ICD-10-PCS, CPT, HCPCS, DRG, and APC coding methodologies. Familiarity with EHR systems (Cerner, Meditech) and coding software (3M). Strong leadership, organizational, and interpersonal communication skills. Ability to manage deadlines, multitask, and maintain compliance under pressure. THE ABOVE DESCRIPTION COVERS THE MOST SIGNIFICANT DUTIES PERFORMED BUT DOES NOT EXCLUDE OTHER OCCASIONAL WORK ASSIGNMENTS NOT MENTIONED, THE INCLUSION OF WHICH WOULD BE IN CONFORMITY WITH THE FACTOR DEGREES ASSIGNED TO THIS JOB. #J-18808-Ljbffr