Coding Manager – Epic Professional Billing

This is a fully remote position, open to applicants in Illinois.

📋 Description

• Oversee the performance of a global professional coding team

• Serve as the primary point of contact for professional coding with multiple clients

• Manage relationships with leaders in global professional coding

• Maintain and resolve coding edit work queues in EPIC to ensure precise and prompt claims submissions

• Assist global professional coding teams through analysis and reporting in the Epic system

• Provide direction on CMS and commercial payer regulations, ensuring compliance with current coding and billing standards

• Conduct continuous compliance monitoring and risk assessments to mitigate coding errors and revenue loss

• Act as a coding subject matter expert for Revenue Cycle Management (RCM) teams, addressing complex coding and denial issues

• Supervise and support professional coding staff, including hiring, onboarding, scheduling, and performance management

• Track coding productivity, accuracy, and turnaround time for coding completion

• Ensure timely resolution of coding-related edits and billing holds

• Manage multiple work demands concurrently

• Perform coding audits and accuracy reviews, ensuring compliance with ICD-10, CPT/HCPCS, and relevant CMS/OIG regulations

• Address coding-related denials and collaborate with billing and A/R teams to identify root causes

• Stay updated on regulatory and coding changes, providing guidance to staff

• Ensure coding policies and procedures are up-to-date and reflect the most compliant practices for professional coding

• Maintain compliance with federal, state, and HIPAA guidelines

• Collaborate closely with HIM, Revenue Integrity, CDI, Billing, and Clinical departments to ensure clean claim generation

• Support the accuracy of the charge description master (CDM) through partnership with revenue integrity

• Work with IT on optimizing encoder, EHR, and CAC systems

• Deliver regular coder education on updates, documentation changes, and audit findings

• Mentor coding leads or senior coders to aid in succession planning and career development

• Collaborate with physicians, nurses, and other healthcare professionals to ensure timely and accurate documentation reflecting patient care, obtaining clarification when necessary

⛳️ Requirements

• Current permanent US Work Authorization is required

• Associate or bachelor’s degree in health information management or healthcare administration

• Minimum of 5 years of experience in professional medical coding, with at least 2 years in a leadership role

• AAPC Certification Required: CPC

• Proficiency and experience with Epic

• Familiarity with 3M/Solventum Encoder

• Prior experience managing remote coding teams

• Knowledge of various specialties including 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

• Strong understanding of HCCs, NCCI edits, and medical necessity concepts

• Excellent communication skills and a willingness to collaborate as part of a team

• Advanced Excel skills, with working knowledge of advanced Tableau and/or other data mining and visualization tools, report writing, and workflow design

🏝️ Benefits

• Medical, dental, and vision insurance

• 401(k) plan with a generous employer match

• Employee stock purchase plan

• Generous Paid Time Off policy

• Paid parental leave and adoption assistance

• Wellness Programs