Medical Coding Manager (Healthcare)

COMPANY SUMMARY:

At OnePeak Medical, our team is united by a common goal: to provide a unique wellness experience that redefines primary care through innovative, integrated health services aimed at promoting optimal health and well-being. As a caregiver-centric company, we support our frontline staff with the best resources available, fostering a mission-driven environment dedicated to growth and innovation.

JOB SUMMARY:

The Medical Coding Manager oversees the daily operations of the medical coding department, ensuring accurate and timely coding of diagnoses and procedures in accordance with official coding guidelines and regulatory requirements. This role is responsible for managing a team of coders, conducting audits, and collaborating with clinical and administrative staff to optimize revenue cycle performance.

RESPONSIBILITIES AND DUTIES:

Leadership and Team Management:

• Supervise and support a team of medical coders, including hiring, training, and professional development
• Conduct regular performance reviews and deliver ongoing coaching and feedback.
• Conduct regular coding audits and implement corrective actions as needed.
• Collaborate with billing, compliance, and clinical teams to resolve coding-related issues.
• Monitor coding productivity and quality metrics and report on departmental performance.
• Stay current with changes in coding regulations, payer policies, and industry best practices.
• Develop and maintain coding policies and procedures.
• Foster a positive, accountable, and collaborative team culture that aligns with OnePeak's mission and values.
• Participate in Medical Provider onboarding and training.

Operational Management:

• Develop, document, and enforce policies and procedures that support high-quality service delivery.
• Manage shift scheduling, time off approvals, and workforce planning to ensure optimal coverage.

Data Analysis & Reporting

• Analyze performance data to identify trends and areas for improvement.
• Prepare and present reports on internal and external coding performance to senior management.
• Utilize data to make informed decisions and implement changes.

Cross-Departmental Collaboration:

• Serve as a liaison between the internal coding team and other departments (e.g., Clinical, IT, Administration) to resolve coding questions and concerns.
• Promote open communication and collaboration across functional teams to support a seamless patient journey.

Technology and Tools Management:

• Oversee the selection, implementation, and maintenance of call center technologies and tools.
• Ensure all team members are trained and proficient in using systems and software.
• Evaluate and recommend new technology solutions to enhance operational efficiency and patient service delivery.

REQUIRED QUALIFICATIONS

• Patient-first mindset and demonstrated commitment to service excellence.
• Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or equivalent credential required.
• Minimum of 5 years of medical coding experience, with at least 2 years in a supervisory or management role.
• Strong knowledge of medical terminology, anatomy, and healthcare reimbursement systems.
• Experience with electronic health records (EHR) and coding software.
• Excellent leadership, communication, and organizational skills.
• Ability to analyze data and implement process improvements.

PREFERRED QUALIFICATIONS

• Bachelor's degree or advanced degree (MBA, MHA, or related field).
• Experience in a multi-specialty or Prime Care setting.
• Familiarity with risk adjustment and HCC coding.