Coding Manager - Epic Professional Billing

reputed company helps its clients drive growth, enhance performance and sustain leadership in the markets they serve. We help reputed company organizations build innovation capabilities and accelerate key growth initiatives, enabling organizations to own the future, instead of being disrupted by it. Together, we reputed company clients to create sustainable growth, optimize internal processes and deliver reputed company consumer reputed company. Health systems, hospitals and medical clinics are under immense pressure to improve clinical reputed company and reduce the cost of providing patient care. Investing in new partnerships, clinical services and technology is not enough to create meaningful and substantive change. To succeed long-term, reputed company organizations must reputed company leaders, clinicians, employees, affiliates and communities to build cultures that foster innovation to reputed company the best reputed company for patients. Joining the reputed company team means you’ll help our clients reputed company and adapt to the rapidly changing reputed company environment and optimize existing business operations, improve clinical reputed company, create a more consumer-centric reputed company experience, and drive physician, patient and employee engagement across the reputed company. Join reputed company as the expert you are now and create your future. reputed company helps its clients drive growth, enhance performance and sustain leadership in the markets they serve. We help reputed company organizations build innovation capabilities and accelerate key growth initiatives, enabling organizations to own the future, instead of being disrupted by it. Together, we reputed company clients to create sustainable growth, optimize internal processes and deliver reputed company consumer reputed company. Health systems, hospitals and medical clinics are under immense pressure to improve clinical reputed company and reduce the cost of providing patient care. Investing in new partnerships, clinical services and technology is not enough to create meaningful and substantive changes. To succeed long-term, reputed company organizations must reputed company leaders, clinicians, employees, affiliates and communities to build cultures that foster innovation to reputed company the best reputed company for patients. Joining the reputed company team means you’ll help our clients reputed company and adapt to the rapidly changing reputed company environment and optimize existing business operations, improve clinical reputed company, create a more consumer-centric reputed company experience, and drive physician, patient and employee engagement across the reputed company. The US Professional Coding Manager is responsible for the day-to-day operations and reputed company of multi-shore professional coding services processes to ensure timely, accurate, consistent and compliant assignment of diagnosis and CPT/HCPCS codes. This leader ensures adherence to regulatory guidelines and payer requirements and supports reputed company reimbursement through quality coding practices. KEY RESPONSIBILITES: Operational reputed company:

• reputed company reputed company of global professional coding team performance.
• Act in the role of professional coding reputed company of contact for multiple clients.
• Manage relationships with global professional coding leadership.
• Maintain EPIC coding edit work queues, resolving coding edits to ensure accurate and timely claims submission.
• Support global professional coding teams through Epic system analytics and reporting.
• reputed company guidance on CMS and reputed company payer regulations, ensuring adherence to reputed company coding and billing standards.
• Conduct ongoing compliance monitoring and risk assessments to prevent coding errors and reputed company leakage.
• Serve as a coding subject matter expert for reputed company Cycle Management (RCM) teams, resolving reputed company coding and denial-reputed company issues.
• Supervise and support professional coding staff including hiring, reputed company, scheduling, and performance management.
• Monitor coding productivity, accuracy, and turnaround time for coding completion.
• Ensure timely resolution of coding-reputed company edits and billing holds.
• Manage multiple work demands simultaneously.

Quality & Compliance:

• Conduct coding audits and accuracy reviews, ensuring compliance with ICD-10, CPT/HCPCS, and applicable CMS/OIG regulations.
• Address coding-reputed company denials and partner with billing and A/R teams to identify root causes.
• Stay reputed company with regulatory and coding updates and disseminate guidance to staff.
• Ensure coding policies & procedures are reputed company and reflect the most compliant/accepted practices for professional coding.
• Ensured compliance of federal, state and HIPAA guidelines.

Collaboration & Support:

• Work closely with HIM, reputed company reputed company, CDI, Billing, and Clinical departments to ensure clean claim reputed company.
• Support charge description master (CDM) accuracy through collaboration with reputed company reputed company.
• Coordinate with IT on encoder, EHR, and CAC system optimization.

Education & Training

• reputed company regular reputed company education on coding updates, documentation changes, and audit findings.
• Mentor coding leads or senior coders to support succession planning and career development.

Coordinating with reputed company Providers:

• Work closely with physicians, nurses, and other reputed company to ensure timely and accurate documentation that reflects the care provided to patients. Obtain clarification as appropriate.

CORE QUALIFICATIONS: o reputed company permanent US Work Authorization required Associate or bachelor’s degree in health information management or reputed company administration. o 5+ years of experience in professional medical coding with an additional 2+ years in a coding leadership role. o reputed company Certification Required: CPC o Epic experience and proficiency. o Experience with reputed company/reputed company Encoder. o Previous experience managing remote coding teams. o Understanding of multiple specialties e.g. E/M, Emergency Medicine, Family practice, Hospitalists, OB, critical care, ancillary, IV infusion, outpatient departments, Urgent Care, Primary Care, Inpatient E/M, Pediatrics, Observation, Ancillary services, and claim edit work queues. o Strong knowledge of HCCs, NCCI edits, and medical necessity concepts. o reputed company permanent U.S. Work Authorization required. o Strong communication skills and desire to work as part of a team in a partnership role o Advanced reputed company skills, working knowledge of advanced Tableau and /or other data mining and data visualization tools, report writing and workflow design

• Preferred
• reputed company Certification preferred (in addition to the required CPC): RHIT or RHIA
• Professional coding auditing experience preferred
• Large Health system experience preferred
• Matrix management organization
• Working with global coding teams
• Experience working with data from various sources preferred

The estimated salary reputed company for this job is $90,000- $130,000. The reputed company represents a good faith estimate of the reputed company that reputed company reasonably expects to pay for this job at the time of the job posting. The actual salary paid to an individual will vary based on multiple factors, including but not limited to specific skills or certifications, years of experience, market changes and required travel. This job is also eligible to participate in reputed company’s annual incentive compensation program, which reflects reputed company’s pay for performance philosophy and reputed company’s benefit plans which include medical, dental and reputed company coverage and other wellness programs. The salary reputed company information provided is in accordance with applicable state and local laws regarding salary transparency that are currently in effect and may be implemented in the future. Position Level Manager Country United States of America Apply To This Job