Ortho/Spine/Neuro Coding Manager

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

📋 Description

• Provide direct leadership for operations and team management for the designated group of coders and specialties.

• Guide, mentor, and nurture the development of team members.

• Distribute tasks based on complexity, workload, specialty, and individual capacity.

• Assist in recruiting, onboarding, and validating competencies.

• Set performance expectations and conduct regular assessments.

• Address performance deficiencies through coaching and corrective action plans.

• Conduct operational reviews with direct reports.

• Act as the primary point of escalation for complex issues related to coding, documentation, payers, and accounts.

• Resolve elevated coding inquiries in accordance with official coding standards and payer requirements.

• Monitor escalation patterns and resolution timelines, implementing coaching or workflow modifications as necessary.

• Escalate systemic, high-risk, or unresolved concerns to the Senior Medical Coding Manager.

• Oversee daily coding operations and ensure timely completion of encounters.

• Keep track of backlog levels and associated risks, providing data-driven recommendations.

• Ensure compliance with departmental policies, coding standards, and payer requirements.

• Supervise coding audits and implement corrective measures.

• Monitor adherence to coding rules and documentation standards.

• Maintain processes that are ready for audits and engage in compliance initiatives, education, and reporting.

• Track coding quality, productivity, and turnaround-time KPIs.

• Collaborate with Billing and Revenue Cycle teams to facilitate clean claims and decrease coding-related denials.

• Identify trends affecting reimbursement and implement enhancements.

• Work alongside providers, clinical leadership, Compliance, the Coding Director, and the Coding Senior Manager.

• Prepare and document coding guidelines, rules, and specialty specifics.

• Ensure alignment of coding LOA and educate the authorizations team when necessary.

• Drive team performance in terms of accuracy, productivity, turnaround time, escalation, audit, and denial KPIs.

⛳️ Requirements

• High School Diploma or equivalent is required; a Bachelor's degree is preferred.

• At least 3-6 years of experience in revenue cycle management, including physician collections, accounts receivable follow-up, and denial management.

• Minimum of 3+ years in a leadership or management position.

• Strong knowledge of billing, coding (CPT, ICD-10), and payer guidelines.

• Demonstrated ability to drive revenue performance and enhance operational results.

• Experience in managing client relationships within a healthcare or revenue cycle setting.

• Strong analytical abilities and the capacity to convert data insights into actionable strategies.

• Advanced proficiency in Microsoft Office applications, particularly Excel, and reporting tools.

• Excellent communication, leadership, and interpersonal abilities.

• Capability to juggle multiple priorities in a fast-paced environment.

• Ability to influence, inspire, and develop high-performing teams.

• Strategic, results-oriented, and revenue-focused approach.

• Proficient in collaborating cross-functionally and influencing stakeholders at all levels.

🏝️ Benefits

• Health insurance.

• Dental insurance.

• Vision insurance.

• Employee assistance program.

• Paid family leave.

• Short-term disability insurance.

• Life insurance.

• 401(k) plan with employer match.

• Flexible spending accounts.

• Employee discount program.

• Employee referral program.