We are seeking an experienced and highly organized professional to oversee and manage our medical coding and medical records department. This position will oversee coding operations, documentation integrity, medical records compliance, and a team responsible for coding accuracy, chart audits, demographics / charge entry and records management across multiple specialties and facilities.
The ideal candidate is detail-oriented, experienced in anesthesia and physician coding, knowledgeable in compliance and payer regulations, and capable of leading a high-performing team in a fast-paced healthcare environment.
Key Responsibilities
- Manage day-to-day operations of the coding and medical records department
- Supervise and mentor coding specialists and medical records personnel
- Review and audit coding accuracy for
- Ensure proper ICD-10, CPT, HCPCS, and modifier utilization
- Oversee anesthesia, surgical, orthopedic, and multi-specialty coding workflows
- Monitor compliance with CMS, commercial payer, HIPAA, and regulatory requirements
- Coordinate chart reviews, documentation improvement efforts, and coding education
- Work collaboratively with billing, credentialing, provider relations, and operations teams
- Identify trends in denials, down coding, and reimbursement issues
- Develop and implement workflow improvements and quality assurance initiatives
- Maintain medical records policies, retention standards, and release-of-information procedures
- Assist with payer audits, appeals, and compliance investigations when needed
- Generate departmental reporting and performance metrics
Qualifications
- Minimum 3 years of medical coding experience required
- Previous management or supervisory experience strongly preferred
- Experience with anesthesia coding highly preferred
- Understanding of medical records management and HIPAA compliance
- Familiarity with EMR/EHR systems and billing software platforms
- Strong analytical, organizational, and communication skills
- Ability to manage multiple priorities in a high-growth environment
Preferred Experience
- Certified Professional Coder (CPC), CCS, RHIT, RHIA, or equivalent certification required
- Multi-specialty coding experience
- Revenue cycle management experience
- Audit or compliance background
- Experience handling commercial payer disputes and denials
- Leadership within a healthcare organization or billing company
Work Location: In person