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Medical Coding Manager
<div class="content-intro"><p><strong>About Us</strong></p> <p>At Alteva RCM, we're dedicated to helping healthcare providers thrive through expert revenue cycle management, strategic insight, and innovative solutions. We're always looking for passionate, driven professionals who want to make a meaningful impact, grow their careers, and be part of a collaborative team committed to excellence.</p></div><p><strong><span data-contrast="none">Position Summary </span></strong><span data-ccp-props="{}"> </span></p> <p><span data-contrast="none">The Medical Coding Manager provides operational leadership for coding activities across assigned specialties and service lines. This role ensures coding accuracy, productivity, and compliance with applicable regulatory and payer requirements, while partnering with billing, clinical, and compliance teams to support clean claim submission, reduce denials, and protect revenue integrity.</span><span data-ccp-props="{}"> </span></p> <p><strong><span data-contrast="none">Key Responsibilities </span></strong><span data-ccp-props="{}"> </span></p> <p><span data-contrast="none"><strong>Team Leadership & Development </strong> </span><span data-ccp-props="{}"> </span></p> <ul> <li><span data-contrast="none">Lead, coach, and develop coding staff (in-house and outsourced resources) to support accuracy, consistency, and accountability</span><span data-ccp-props="{}"> </span></li> <li><span data-contrast="none">Support recruiting, onboarding, training, and competency validation for new and existing team members</span><span data-ccp-props="{}"> </span></li> <li><span data-contrast="none">Establish clear performance expectations and conduct regular evaluations aligned to quality and productivity standards</span><span data-ccp-props="{}"> </span></li> <li><span data-contrast="none">Address performance gaps through structured coaching and corrective action plans as needed</span><span data-ccp-props="{}"> </span></li> </ul> <p><strong><span data-contrast="none">Operational Oversight </span><span data-ccp-props="{}"> </span></strong></p> <ul> <li><span data-contrast="none">Oversee day-to-day coding operations to ensure timely completion of encounters and consistent application of coding standards</span><span data-ccp-props="{}"> </span></li> <li><span data-contrast="none">Develop and maintain workflows that improve productivity, turnaround time, and coding accuracy across specialties</span><span data-ccp-props="{}"> </span></li> <li><span data-contrast="none">Ensure appropriate work distribution based on complexity, volume, and team capacity</span><span data-ccp-props="{}"> </span></li> <li><span data-contrast="none">Maintain departmental policies and procedures consistent with official coding guidelines and payer requirements</span><span data-ccp-props="{}"> </span></li> </ul> <p><span data-contrast="none"><strong>Compliance & Audit Oversight</strong> </span><span data-ccp-props="{}"> </span></p> <ul> <li><span data-contrast="none">Oversee internal and external coding audits, ensuring timely response, documentation support, and completion of corrective actions</span><span data-ccp-props="{}"> </span></li> <li><span data-contrast="none">Monitor adherence to federal, state, and payer-specific coding rules, including documentation requirements</span><span data-ccp-props="{}"> </span></li> <li><span data-contrast="none">Identify risk areas and implement corrective and preventive action plans to reduce compliance exposure</span><span data-ccp-props="{}"> </span></li> <li><span data-contrast="none">Maintain audit-ready processes and participate in compliance initiatives, education, and reporting</span><span data-ccp-props="{}"> </span></li> </ul> <p><span data-contrast="none"><strong>Revenue Cycle & KPI Management</strong> </span><span data-ccp-props="{}"> </span></p> <ul> <li><span data-contrast="none">Monitor team KPIs, including coding quality scores, productivity, and turnaround times</span><span data-ccp-props="{}"> </span></li> <li><span data-contrast="none">Partner with billing and revenue cycle leadership to support clean claim submission and reduce coding-related denials</span><span data-ccp-props="{}"> </span></li> <li><span data-contrast="none">Identify trends impacting reimbursement (e.g., documentation gaps, modifier usage, payer edits) and implement targeted improvements</span><span data-ccp-props="{}"> </span></li> <li><span data-contrast="none">Cross-Functional Collaboration </span><span data-ccp-props="{}"> </span></li> <li><span data-contrast="none">Partner with providers, clinical leadership, and compliance to promote complete and accurate documentation</span><span data-ccp-props="{}"> </span></li> <li><span data-contrast="none">Serve as a resource for coding guidance, escalation support, and interpretation of coding rules</span><span data-ccp-props="{}"> </span></li> <li><span data-contrast="none">Collaborate with billing, AR, and payer relations teams on payer-specific coding strategies and issue resolution</span><span data-ccp-props="{}"> </span></li> <li><span data-contrast="none">Support contract review, LOA alignment, and operational readiness for new payers, services, or documentation requirements</span><span data-ccp-props="{}"> </span></li> </ul> <p><strong><span data-contrast="none">Qualifications </span></strong><span data-ccp-props="{}"> </span></p> <ul> <li><span data-contrast="none">5+ years of professional medical coding experience across one or more specialties</span><span data-ccp-props="{}"> </span></li> <li><span data-contrast="none">3-4+ years of people leadership experience preferred</span><span data-ccp-props="{}"> </span></li> <li><span data-contrast="none">Working knowledge of ICD-10-CM, CPT, HCPCS, and modifier application, as applicable to the organization’s services</span><span data-ccp-props="{}"> </span></li> <li><span data-contrast="none">Strong understanding of coding compliance principles and audit readiness expectations</span><span data-ccp-props="{}"> </span></li> <li><span data-contrast="none">Demonstrated ability to manage workflows, track metrics, and drive continuous improvement</span><span data-ccp-props="{}"> </span></li> <li><span data-contrast="none">Proficiency with EHR and coding/billing systems, encoder tools, and productivity tracking platforms</span><span data-ccp-props="{}"> </span></li> </ul> <p><strong><span data-contrast="none">Preferred Experience </span></strong><span data-ccp-props="{}"> </span></p> <ul> <li><span data-contrast="none">Active coding credential (e.g., CPC, CCS, CIC) preferred based on specialty and service mix</span><span data-ccp-props="{}"> </span></li> <li><span data-contrast="none">Experience managing coding operations in a multi-specialty or service-based environment</span><span data-ccp-props="{}"> </span></li> <li><span data-contrast="none">Cross-functional experience partnering with billing and AR teams to address denials and documentation-related revenue risk</span><span data-ccp-props="{}"> </span></li> </ul><div class="content-pay-transparency"><div class="pay-input"><div class="title">Pay Range</div><div class="pay-range"><span>$85,000</span><span class="divider">—</span><span>$110,000 USD</span></div></div></div><div class="content-conclusion"><p> </p> <p><strong>Benefits</strong></p> <p>Alteva RCM offers our employees a comprehensive benefits package, including health, dental, vision, employee assistance plan, paid family leave, short-term disability and life insurance. We also provide a 401(k) plan with employer match, flexible spending accounts, employee discount program and an employee referral program.</p> <p> </p></div>