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Coding Manager Jobs in Evans City, PA (NOW HIRING)

UPMC Senior Communities

DRG Specialist

Pittsburgh, PA · On-site

$27.89 - $48.21/hr

Meet with coding management as scheduled to review progress, discuss problems, and initiate new programs or activities relative to the information obtained from these reports. Function as a resource ...

Corporate Revenue Cycle

DRG Specialist

Pittsburgh, PA · Remote

Meet with coding management as scheduled to review progress, discuss problems, and initiate new programs or activities relative to the information obtained from these reports. Function as a resource ...

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Coding Manager information

See Evans City, PA salary details

$11

$29

$48

How much do coding manager jobs pay per hour?

As of Sep 5, 2026, the average hourly pay for coding manager in Evans City, PA is $29.37, according to ZipRecruiter salary data. Most workers in this role earn between $22.26 and $35.48 per hour, depending on experience, location, and employer.

What is a coding manager?

A Coding Manager is a professional responsible for overseeing the medical coding staff in healthcare organizations. They ensure that patient medical records are accurately coded for billing and insurance purposes, supervise coders, and maintain compliance with regulations and standards. Coding Managers also provide training, monitor productivity, and implement policies to improve efficiency and accuracy within the coding department.

What does a coding manager do?

A coding manager oversees medical coding operations in a health care facility, such as a hospital or medical clinic. In this position, you ensure that coding staff perform their duties accurately and handle records and data according to health privacy regulations. As a manager, your responsibilities include hiring and training new medical coders and facilitating audits to assess employee performance and security and privacy practices. A coding manager may also work with facility administrators and medical staff to establish policies and procedures that improve medical records and coding accuracy. Some managers work for third-party contractors that provide coding services to medical facilities.

What are the key skills and qualifications needed to thrive as a coding manager, and why are they important?

To thrive as a Coding Manager, you need in-depth knowledge of medical coding standards (such as ICD-10, CPT, and HCPCS), healthcare regulations, and typically a certification like CCS or CPC, plus leadership or management experience. Familiarity with electronic health record (EHR) systems, coding compliance software, and auditing tools is crucial. Strong communication, organizational, and team leadership skills help manage coders and ensure high-quality work. These skills and qualifications are vital to maintain coding accuracy, regulatory compliance, and efficient workflow within healthcare organizations.

How does a coding manager typically balance direct coding responsibilities with team leadership and project management tasks?

A Coding Manager often splits their time between hands-on coding and overseeing the team's workflow, depending on the organization's needs. While they may still contribute to codebases, their primary responsibilities usually include mentoring developers, conducting code reviews, managing project timelines, and facilitating communication between technical teams and stakeholders. This role requires strong organizational skills to ensure both project progress and team development, and it's common for Coding Managers to gradually transition towards more strategic and leadership-focused duties as their teams grow.

What is the difference between Coding Manager vs Software Developer?

AspectCoding Manager
Required CredentialsBachelor's degree in Computer Science or related field, often with management experience
Work EnvironmentLeads teams, manages projects, oversees coding standards
Employer & Industry UsageUsed in tech companies, healthcare, finance, where team leadership is needed
Common Search & ComparisonCompared for leadership, project management, and technical oversight roles

The Coding Manager role combines technical expertise with team leadership, overseeing coding projects and ensuring standards. In contrast, a Software Developer primarily focuses on writing code and developing software features. While developers concentrate on individual tasks, Coding Managers handle team coordination and project delivery, making them suitable for those seeking leadership roles in software development.

More about Coding Manager jobs

What cities near Evans City, PA are hiring for Coding Manager jobs?

Cities near Evans City, PA with the most Coding Manager job openings:

Coding Manager jobs near you

DRG Specialist

UPMC Senior Communities

Pittsburgh, PA • On-site

$27.89 - $48.21/hr

Full-time

Posted 5 days ago

Job description

UPMC Corporate Revenue Cycle is hiring a DRG Specialist to work on inpatient auditing within our Coding Department. This position will be a work-from-home position working during standard business hours Monday through Friday.
In this role, you will review clinical documentation within the medical record to ensure that all patient resource utilization, diagnostic complications and co-morbidities have been coded in compliance with coding guidelines, third-party payer and OIG regulations.
Responsibilities:
  • Review and evaluate focused UPMC DRG medical records for accurate DRG assignment to ensure that all documented principal and secondary diagnoses, including all complications and co-morbidities, and procedures are accurately coded and sequenced according to coding and compliance guidelines.
  • Meet with coding management as scheduled to review progress, discuss problems, and initiate new programs or activities relative to the information obtained from these reports. Function as a resource person to respond to special audits and projects assigned by Management or requested by other departments. Perform audits as requested by internal departments and outside payers/agencies
  • Investigate, correct (if necessary), and respond to requests for record review relative to discharge disposition, admit or discharge date, invalid codes, etc. from requesting departments to ensure timely, accurate reimbursement. Investigate and address research accounts requiring V70.7 code assignment. Review focused charts at a rate in accordance with departmental standards.
  • Facilitate compliance to the Medicare 72-Hour Rule by identifying and investigating related admissions, making the appropriate adjustments to the coding system, contacting the Admitting department for registration issues, and reporting outcomes to the Patient Business Services department for appropriate reimbursement.
  • Coordinate DRG reimbursement issues among coding, nursing administration, Patient Business Services, medical staff, case management, and other ancillary departments directly affected by DRG assignment.
  • Track and report quality statistics of the coding personnel from focus chart audits and report this information to the Coding Manager on a monthly basis.
  • Provide coding staff with updates on any coding issues and educational information as necessary.
  • Counsel/train coders on problems when necessary in coordination with the Coding Manager and/or Coding Specialist and assist in correcting deficiencies in DRG assignment.
  • Prepare monthly productivity reports of DRG revenue profiles to identify total amount of optimization and missed opportunities.
  • Attend and participate in Committee meetings as requested. Investigate and respond to payment and/or DRG Assignment denials by Workers Compensation, and other insurers.
  • Identify and report issues and trends to the coding management.
  • Focus emphasis of educational presentations on accurate and thorough documentation necessary to support the coding of diagnoses that were treated, monitored and evaluated and procedures that were performed during an episode of care.
  • Review billing data when conducting focused chart audits to ensure it is complete and accurate.
  • Prepare and present in-service training on accurate DRG assignment for coding personnel, the medical staff, physician extenders (PAs, CRNPs), nursing case management and ancillary departments.
  • Assist the Coding Manager with auditing coders' work as requested.
  • Formulate physician queries that present indications, utilizing clinical judgment, of a diagnosis that is not clearly documented in the medical record and request appropriate documentation to support the additional diagnosis.

Qualifications:
  • 3 years of previous clinical acute care medical/surgical experience to include critical care in conjunction with an expanded knowledge of DRG's; OR completion of Registered Health Information Administration program (RHIA) or Registered Health Information Technician (RHIT) or CCS AND 3 years of experience with the Prospective Payment System and DRG selection; OR specific knowledge as a consultant in Medical Record coding and DRG assignment required.
  • 3 years of inpatient coding experience is preferred.
  • Knowledge of computer technology, quality assurance activities, DRG methodology background is highly preferred.
  • Ability to communicate with staff, physicians, healthcare providers, and other health care system personnel in a professional and diplomatic manner required.
    Licensure, Certifications, and Clearances:
  • Certified Coding Specialist (CCS) OR Certified Professional Coder (CPC) OR Certified Registered Nurse Practitioner OR Doctor of Medicine (MD) OR Registered Health Information Administrator OR Registered Health Information Technician (RHIT) OR Registered Nurse (RN)
  • Act 34
    UPMC is an Equal Opportunity Employer/Disability/Veteran

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